- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,689.34 / $33,812.50 / $54,128.80
| Facility | | $22,689.34 | $33,812.50 | $54,128.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,844.93 / $31,601.76 / $35,023.80
| Facility | | $28,844.93 | $31,601.76 | $35,023.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $26,241.79 / $37,240.08
| Facility | | $13,489.63 | $26,241.79 | $37,240.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,133.75 / $26,973.29 / $47,260.80
| Facility | | $20,133.75 | $26,973.29 | $47,260.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,769.71 / $30,547.52 / $40,934.58
| Facility | | $19,769.71 | $30,547.52 | $40,934.58 |