- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,977.40 / $33,725.19 / $59,346.60
| Facility | | $19,977.40 | $33,725.19 | $59,346.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,610.09 / $24,727.09 / $40,263.92
| Facility | | $16,610.09 | $24,727.09 | $40,263.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,172.58 / $31,086.37 / $41,946.10
| Facility | | $18,172.58 | $31,086.37 | $41,946.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,282.20 / $60,282.20 / $70,746.28
| Facility | | $60,282.20 | $60,282.20 | $70,746.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $32,068.56 / $50,421.00
| Facility | | $2,520.00 | $32,068.56 | $50,421.00 |