- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,913.30 / $33,032.90 / $44,327.50
| Facility | | $19,913.30 | $33,032.90 | $44,327.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,496.79 / $20,495.91 / $26,211.64
| Facility | | $19,496.79 | $20,495.91 | $26,211.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,694.79 / $27,293.27 / $43,670.28
| Facility | | $15,694.79 | $27,293.27 | $43,670.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,351.53 / $26,596.50 / $60,996.41
| Facility | | $16,351.53 | $26,596.50 | $60,996.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,298.41 / $26,209.96 / $37,114.53
| Facility | | $19,298.41 | $26,209.96 | $37,114.53 |