- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,624.50 / $30,117.90 / $39,585.30
| Facility | | $20,624.50 | $30,117.90 | $39,585.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,956.06 / $27,114.09 / $45,859.83
| Facility | | $9,956.06 | $27,114.09 | $45,859.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,708.23 / $30,391.16 / $54,209.24
| Facility | | $21,708.23 | $30,391.16 | $54,209.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,942.81 / $33,761.33 / $49,294.31
| Facility | | $25,942.81 | $33,761.33 | $49,294.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,942.81 / $31,385.67 / $49,294.31
| Facility | | $25,942.81 | $31,385.67 | $49,294.31 |