- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,291.59 / $25,250.80 / $33,188.30
| Facility | | $17,291.59 | $25,250.80 | $33,188.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,985.11 / $21,746.46 / $36,781.19
| Facility | | $7,985.11 | $21,746.46 | $36,781.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,565.84 / $25,363.03 / $42,451.98
| Facility | | $17,565.84 | $25,363.03 | $42,451.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,750.43 / $28,305.48 / $41,328.30
| Facility | | $21,750.43 | $28,305.48 | $41,328.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,750.43 / $26,313.71 / $41,328.30
| Facility | | $21,750.43 | $26,313.71 | $41,328.30 |