- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,938.09 / $27,655.20 / $36,348.40
| Facility | | $18,938.09 | $27,655.20 | $36,348.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,169.00 / $27,694.03 / $46,840.72
| Facility | | $10,169.00 | $27,694.03 | $46,840.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,238.47 / $27,778.09 / $46,494.25
| Facility | | $19,238.47 | $27,778.09 | $46,494.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,821.50 / $31,000.72 / $45,263.57
| Facility | | $23,821.50 | $31,000.72 | $45,263.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,821.50 / $28,819.30 / $45,263.57
| Facility | | $23,821.50 | $28,819.30 | $45,263.57 |