- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,797.50 / $30,660.30 / $35,857.40
| Facility | | $19,797.50 | $30,660.30 | $35,857.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,906.34 / $33,162.19 / $46,774.55
| Facility | | $21,906.34 | $33,162.19 | $46,774.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,281.58 / $29,706.91 / $43,072.72
| Facility | | $18,281.58 | $29,706.91 | $43,072.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,264.00 / $35,748.00 / $80,536.00
| Facility | | $21,264.00 | $35,748.00 | $80,536.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $28,594.27 / $47,026.21
| Facility | | $5,274.00 | $28,594.27 | $47,026.21 |