- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,113.11 / $53,703.18
| Facility | | $20,417.38 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $19,498.45 / $33,113.11
| Facility | | $7,244.36 | $19,498.45 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $30,199.52 / $51,286.14
| Facility | | $20,892.96 | $30,199.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $34,673.69 / $50,118.72
| Facility | | $27,542.29 | $34,673.69 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $33,113.11 / $48,977.88
| Facility | | $17,378.01 | $33,113.11 | $48,977.88 |