- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $32,359.37 / $46,773.51
| Facility | | $21,877.62 | $32,359.37 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $28,183.83 / $46,773.51
| Facility | | $10,471.29 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $27,542.29 / $45,708.82
| Facility | | $19,498.45 | $27,542.29 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $30,199.52 / $43,651.58
| Facility | | $23,988.33 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $28,840.32 / $42,657.95
| Facility | | $15,135.61 | $28,840.32 | $42,657.95 |