- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,572.70 / $28,581.90 / $37,566.50
| Facility | | $19,572.70 | $28,581.90 | $37,566.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,653.96 / $23,568.03 / $39,862.15
| Facility | | $8,653.96 | $23,568.03 | $39,862.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,883.16 / $28,708.96 / $48,052.32
| Facility | | $19,883.16 | $28,708.96 | $48,052.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,619.78 / $32,039.58 / $46,780.40
| Facility | | $24,619.78 | $32,039.58 | $46,780.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,619.78 / $29,785.06 / $46,780.40
| Facility | | $24,619.78 | $29,785.06 | $46,780.40 |