- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,031.70 / $30,779.50 / $50,029.60
| Facility | | $18,031.70 | $30,779.50 | $50,029.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,607.00 / $27,515.74 / $37,106.62
| Facility | | $13,607.00 | $27,515.74 | $37,106.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,462.10 / $24,455.81 / $38,581.40
| Facility | | $15,462.10 | $24,455.81 | $38,581.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,840.26 / $19,083.21 / $38,910.73
| Facility | | $8,840.26 | $19,083.21 | $38,910.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $25,542.73 / $35,134.55
| Facility | | $6,842.00 | $25,542.73 | $35,134.55 |