- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,081.90 / $29,325.60 / $38,543.90
| Facility | | $20,081.90 | $29,325.60 | $38,543.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,836.86 / $15,895.97 / $26,885.88
| Facility | | $5,836.86 | $15,895.97 | $26,885.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,400.50 / $29,455.94 / $49,302.59
| Facility | | $20,400.50 | $29,455.94 | $49,302.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,260.36 / $32,873.22 / $47,997.58
| Facility | | $25,260.36 | $32,873.22 | $47,997.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,260.36 / $30,560.04 / $47,997.58
| Facility | | $25,260.36 | $30,560.04 | $47,997.58 |