- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,011.50 / $21,921.30 / $28,812.10
| Facility | | $15,011.50 | $21,921.30 | $28,812.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,973.81 / $13,545.55 / $22,910.47
| Facility | | $4,973.81 | $13,545.55 | $22,910.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,800.33 / $22,120.20 / $39,456.19
| Facility | | $15,800.33 | $22,120.20 | $39,456.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,882.47 / $24,573.19 / $35,878.85
| Facility | | $18,882.47 | $24,573.19 | $35,878.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,882.47 / $22,844.05 / $35,878.85
| Facility | | $18,882.47 | $22,844.05 | $35,878.85 |