- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,625.90 / $28,659.70 / $37,668.69
| Facility | | $19,625.90 | $28,659.70 | $37,668.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,491.71 / $28,805.51 / $48,327.18
| Facility | | $10,491.71 | $28,805.51 | $48,327.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,657.21 / $28,919.75 / $51,584.66
| Facility | | $20,657.21 | $28,919.75 | $51,584.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,686.77 / $32,126.76 / $46,907.69
| Facility | | $24,686.77 | $32,126.76 | $46,907.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,686.77 / $29,866.11 / $46,907.69
| Facility | | $24,686.77 | $29,866.11 | $46,907.69 |