- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,254.80 / $35,270.10 / $49,938.60
| Facility | | $19,254.80 | $35,270.10 | $49,938.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,056.54 / $35,754.36 / $56,203.16
| Facility | | $22,056.54 | $35,754.36 | $56,203.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,715.80 / $30,350.20 / $56,447.85
| Facility | | $19,715.80 | $30,350.20 | $56,447.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $30,233.62 / $61,616.52
| Facility | | $7,117.00 | $30,233.62 | $61,616.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $26,454.00 / $55,974.70
| Facility | | $5,264.00 | $26,454.00 | $55,974.70 |