- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,838.20 / $27,509.40 / $36,156.80
| Facility | | $18,838.20 | $27,509.40 | $36,156.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,930.73 / $27,045.11 / $45,743.16
| Facility | | $9,930.73 | $27,045.11 | $45,743.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,828.08 / $27,631.62 / $46,249.10
| Facility | | $19,828.08 | $27,631.62 | $46,249.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,695.89 / $30,837.26 / $45,024.91
| Facility | | $23,695.89 | $30,837.26 | $45,024.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,695.89 / $28,667.34 / $45,024.91
| Facility | | $23,695.89 | $28,667.34 | $45,024.91 |