- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,797.50 / $25,989.60 / $34,159.30
| Facility | | $17,797.50 | $25,989.60 | $34,159.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,748.09 / $19,180.46 / $21,709.80
| Facility | | $18,748.09 | $19,180.46 | $21,709.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,959.82 / $29,847.73 / $50,483.41
| Facility | | $10,959.82 | $29,847.73 | $50,483.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,079.81 / $26,105.12 / $43,694.08
| Facility | | $18,079.81 | $26,105.12 | $43,694.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,386.82 / $29,133.66 / $42,537.52
| Facility | | $22,386.82 | $29,133.66 | $42,537.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,386.82 / $27,083.62 / $42,537.52
| Facility | | $22,386.82 | $27,083.62 | $42,537.52 |