- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,912.70 / $26,377.10 / $46,149.90
| Facility | | $19,912.70 | $26,377.10 | $46,149.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,110.00 / $22,045.31 / $33,940.19
| Facility | | $17,110.00 | $22,045.31 | $33,940.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,947.65 / $47,268.49
| Facility | | $5,939.30 | $23,947.65 | $47,268.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,016.50 / $25,306.62 / $41,203.80
| Facility | | $15,016.50 | $25,306.62 | $41,203.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $27,182.85 / $41,518.44
| Facility | | $3,496.00 | $27,182.85 | $41,518.44 |