- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,150.59 / $35,079.30 / $49,668.60
| Facility | | $19,150.59 | $35,079.30 | $49,668.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,511.22 / $28,127.52 / $44,258.72
| Facility | | $17,511.22 | $28,127.52 | $44,258.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,910.88 / $31,555.73 / $56,142.65
| Facility | | $19,910.88 | $31,555.73 | $56,142.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $26,726.35 / $66,388.78
| Facility | | $7,117.00 | $26,726.35 | $66,388.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $28,672.79 / $58,996.54
| Facility | | $3,308.00 | $28,672.79 | $58,996.54 |