- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,915.35 / $40,738.03
| Facility | | $18,620.87 | $26,915.35 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $37,153.52
| Facility | | $33,884.42 | $33,884.42 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $23,988.33 / $38,904.51
| Facility | | $14,125.38 | $23,988.33 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $31,622.78 / $40,738.03
| Facility | | $19,952.62 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $31,622.78 / $47,863.01
| Facility | | $17,378.01 | $31,622.78 | $47,863.01 |