- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,184.40 / $23,602.30 / $38,313.90
| Facility | | $16,184.40 | $23,602.30 | $38,313.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,770.14 / $39,479.40 / $50,614.62
| Facility | | $27,770.14 | $39,479.40 | $50,614.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,004.29 / $36,743.01 / $45,619.54
| Facility | | $19,004.29 | $36,743.01 | $45,619.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,885.70 / $25,382.50 / $40,587.80
| Facility | | $16,885.70 | $25,382.50 | $40,587.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,747.66 / $33,768.75 / $51,304.55
| Facility | | $19,747.66 | $33,768.75 | $51,304.55 |