- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,183.83 / $36,307.81
| Facility | | $20,417.38 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $25,118.86 / $34,673.69
| Facility | | $15,135.61 | $25,118.86 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $29,512.09 / $41,686.94
| Facility | | $15,848.93 | $29,512.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $27,542.29 / $33,113.11
| Facility | | $15,135.61 | $27,542.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $29,512.09 / $41,686.94
| Facility | | $14,454.40 | $29,512.09 | $41,686.94 |