- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,068.40 / $34,255.90 / $55,680.20
| Facility | | $20,068.40 | $34,255.90 | $55,680.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,739.63 / $29,123.24 / $33,271.12
| Facility | | $22,739.63 | $29,123.24 | $33,271.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,144.39 / $27,218.02 / $42,939.05
| Facility | | $17,144.39 | $27,218.02 | $42,939.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,730.61 / $28,345.53 / $52,347.02
| Facility | | $15,730.61 | $28,345.53 | $52,347.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,943.43 / $30,973.64 / $41,232.99
| Facility | | $19,943.43 | $30,973.64 | $41,232.99 |