- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $41,686.94
| Facility | | $23,442.29 | $32,359.37 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $39,810.72
| Facility | | $19,054.61 | $28,840.32 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $47,863.01
| Facility | | $17,782.79 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $31,622.78 / $39,810.72
| Facility | | $19,054.61 | $31,622.78 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $33,884.42 / $47,863.01
| Facility | | $16,218.10 | $33,884.42 | $47,863.01 |