- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,446.09 / $30,116.10 / $35,220.90
| Facility | | $19,446.09 | $30,116.10 | $35,220.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,252.68 / $27,631.22 / $38,973.24
| Facility | | $18,252.68 | $27,631.22 | $38,973.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,957.06 / $27,959.85 / $38,317.08
| Facility | | $17,957.06 | $27,959.85 | $38,317.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,512.52 / $26,784.00 / $36,008.00
| Facility | | $18,512.52 | $26,784.00 | $36,008.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $32,804.65 / $46,191.44
| Facility | | $5,274.00 | $32,804.65 | $46,191.44 |