- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,564.70 / $30,299.80 / $34,273.30
| Facility | | $19,564.70 | $30,299.80 | $34,273.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,892.25 / $30,113.24 / $42,474.07
| Facility | | $19,892.25 | $30,113.24 | $42,474.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,066.61 / $28,130.43 / $38,550.85
| Facility | | $18,066.61 | $28,130.43 | $38,550.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,521.00 / $26,741.00 / $36,298.00
| Facility | | $18,521.00 | $26,741.00 | $36,298.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,400.60 / $46,473.24
| Facility | | $5,274.00 | $34,400.60 | $46,473.24 |