- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,183.70 / $31,258.30 / $35,357.50
| Facility | | $20,183.70 | $31,258.30 | $35,357.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,365.97 / $30,830.34 / $43,485.53
| Facility | | $20,365.97 | $30,830.34 | $43,485.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,638.14 / $28,760.62 / $39,770.37
| Facility | | $18,638.14 | $28,760.62 | $39,770.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,107.00 / $27,878.00 / $37,696.00
| Facility | | $19,107.00 | $27,878.00 | $37,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $35,122.80 / $47,943.39
| Facility | | $5,274.00 | $35,122.80 | $47,943.39 |