- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,403.50 / $32,187.10 / $43,192.50
| Facility | | $19,403.50 | $32,187.10 | $43,192.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,466.05 / $19,588.46 / $31,511.36
| Facility | | $19,466.05 | $19,588.46 | $31,511.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,257.80 / $27,443.16 / $43,910.12
| Facility | | $16,257.80 | $27,443.16 | $43,910.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,932.85 / $25,915.50 / $59,434.61
| Facility | | $15,932.85 | $25,915.50 | $59,434.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,916.59 / $25,528.50 / $36,803.47
| Facility | | $18,916.59 | $25,528.50 | $36,803.47 |