- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,172.50 / $26,537.30 / $34,879.10
| Facility | | $18,172.50 | $26,537.30 | $34,879.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,366.93 / $25,717.37 / $43,146.18
| Facility | | $9,366.93 | $25,717.37 | $43,146.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,127.40 / $26,778.03 / $48,624.34
| Facility | | $19,127.40 | $26,778.03 | $48,624.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,858.53 / $29,747.54 / $43,433.83
| Facility | | $22,858.53 | $29,747.54 | $43,433.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,858.53 / $27,654.30 / $43,433.83
| Facility | | $22,858.53 | $27,654.30 | $43,433.83 |