- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,222.20 / $32,811.60 / $53,332.60
| Facility | | $19,222.20 | $32,811.60 | $53,332.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $27,344.12 / $35,976.22
| Facility | | $11,231.00 | $27,344.12 | $35,976.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,421.52 / $26,070.41 / $41,128.58
| Facility | | $16,421.52 | $26,070.41 | $41,128.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,936.56 / $16,013.78 / $41,479.66
| Facility | | $5,936.56 | $16,013.78 | $41,479.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,102.56 / $29,667.68 / $39,494.46
| Facility | | $19,102.56 | $29,667.68 | $39,494.46 |