- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,366.70 / $26,820.80 / $35,251.69
| Facility | | $18,366.70 | $26,820.80 | $35,251.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,333.11 / $17,247.45 / $29,171.75
| Facility | | $6,333.11 | $17,247.45 | $29,171.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,331.75 / $27,064.13 / $48,274.77
| Facility | | $19,331.75 | $27,064.13 | $48,274.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,102.76 / $30,065.37 / $43,897.90
| Facility | | $23,102.76 | $30,065.37 | $43,897.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,102.76 / $27,949.77 / $43,897.90
| Facility | | $23,102.76 | $27,949.77 | $43,897.90 |