- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,100.80 / $26,397.00 / $42,850.60
| Facility | | $18,100.80 | $26,397.00 | $42,850.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,810.69 / $50,910.26 / $65,269.57
| Facility | | $35,810.69 | $50,910.26 | $65,269.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,254.59 / $41,093.76 / $49,231.16
| Facility | | $21,254.59 | $41,093.76 | $49,231.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,885.20 / $28,388.10 / $45,393.80
| Facility | | $18,885.20 | $28,388.10 | $45,393.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,085.99 / $37,767.32 / $57,379.54
| Facility | | $22,085.99 | $37,767.32 | $57,379.54 |