- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,657.40 / $27,245.30 / $35,809.69
| Facility | | $18,657.40 | $27,245.30 | $35,809.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,501.93 / $12,260.49 / $20,736.96
| Facility | | $4,501.93 | $12,260.49 | $20,736.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,953.31 / $27,366.36 / $45,805.10
| Facility | | $18,953.31 | $27,366.36 | $45,805.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,468.41 / $30,541.22 / $44,592.67
| Facility | | $23,468.41 | $30,541.22 | $44,592.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,468.41 / $28,392.13 / $44,592.67
| Facility | | $23,468.41 | $28,392.13 | $44,592.67 |