- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,354.20 / $32,643.80 / $42,905.20
| Facility | | $22,354.20 | $32,643.80 | $42,905.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,173.64 / $16,950.02 / $28,437.16
| Facility | | $6,173.64 | $16,950.02 | $28,437.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,528.83 / $32,939.97 / $58,755.60
| Facility | | $23,528.83 | $32,939.97 | $58,755.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,118.55 / $36,592.80 / $53,428.47
| Facility | | $28,118.55 | $36,592.80 | $53,428.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,118.55 / $34,017.87 / $53,428.47
| Facility | | $28,118.55 | $34,017.87 | $53,428.47 |