- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,966.90 / $27,697.30 / $36,403.80
| Facility | | $18,966.90 | $27,697.30 | $36,403.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,853.77 / $21,388.79 / $36,176.25
| Facility | | $7,853.77 | $21,388.79 | $36,176.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,267.77 / $27,820.40 / $46,565.07
| Facility | | $19,267.77 | $27,820.40 | $46,565.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,857.78 / $31,047.94 / $45,332.52
| Facility | | $23,857.78 | $31,047.94 | $45,332.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,857.78 / $28,863.20 / $45,332.52
| Facility | | $23,857.78 | $28,863.20 | $45,332.52 |