- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,077.69 / $31,462.50 / $52,235.20
| Facility | | $23,077.69 | $31,462.50 | $52,235.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.75 / $27,574.98 / $46,181.22
| Facility | | $18,197.75 | $27,574.98 | $46,181.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,837.66 / $33,558.35 / $48,252.82
| Facility | | $24,837.66 | $33,558.35 | $48,252.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,214.07 / $32,236.63 / $81,373.14
| Facility | | $16,214.07 | $32,236.63 | $81,373.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,214.07 / $32,166.50 / $45,208.42
| Facility | | $16,214.07 | $32,166.50 | $45,208.42 |