- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,395.20 / $28,322.70 / $37,225.80
| Facility | | $19,395.20 | $28,322.70 | $37,225.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,847.21 / $24,290.48 / $40,752.29
| Facility | | $8,847.21 | $24,290.48 | $40,752.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,414.31 / $28,579.69 / $50,978.09
| Facility | | $20,414.31 | $28,579.69 | $50,978.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,396.48 / $31,748.99 / $46,356.12
| Facility | | $24,396.48 | $31,748.99 | $46,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,396.48 / $29,514.92 / $46,356.12
| Facility | | $24,396.48 | $29,514.92 | $46,356.12 |