- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,987.80 / $26,540.50 / $43,083.60
| Facility | | $18,987.80 | $26,540.50 | $43,083.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,718.52 / $64,995.71 / $83,327.83
| Facility | | $45,718.52 | $64,995.71 | $83,327.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,370.14 / $41,867.62 / $52,004.21
| Facility | | $21,370.14 | $41,867.62 | $52,004.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,987.80 / $28,542.40 / $45,640.60
| Facility | | $18,987.80 | $28,542.40 | $45,640.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,206.06 / $37,972.62 / $57,691.46
| Facility | | $22,206.06 | $37,972.62 | $57,691.46 |