- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,614.09 / $31,773.60 / $51,645.50
| Facility | | $18,614.09 | $31,773.60 | $51,645.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,165.63 / $27,035.92 / $29,393.17
| Facility | | $13,165.63 | $27,035.92 | $29,393.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,961.52 / $25,245.72 / $39,827.56
| Facility | | $15,961.52 | $25,245.72 | $39,827.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,681.16 / $21,384.16 / $40,167.53
| Facility | | $10,681.16 | $21,384.16 | $40,167.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,608.05 / $28,729.20 / $38,245.12
| Facility | | $18,608.05 | $28,729.20 | $38,245.12 |