- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,900.30 / $31,352.40 / $42,072.50
| Facility | | $18,900.30 | $31,352.40 | $42,072.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,223.95 / $21,576.09 / $32,900.56
| Facility | | $10,223.95 | $21,576.09 | $32,900.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,271.75 / $25,778.71 / $41,246.93
| Facility | | $15,271.75 | $25,778.71 | $41,246.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,519.70 / $25,243.50 / $57,893.44
| Facility | | $15,519.70 | $25,243.50 | $57,893.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,316.68 / $24,866.53 / $35,226.46
| Facility | | $18,316.68 | $24,866.53 | $35,226.46 |