- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,663.50 / $40,362.80 / $61,530.90
| Facility | | $20,663.50 | $40,362.80 | $61,530.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,189.31 / $36,101.07 / $55,183.97
| Facility | | $22,189.31 | $36,101.07 | $55,183.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,666.18 / $39,092.16 / $69,551.14
| Facility | | $24,666.18 | $39,092.16 | $69,551.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,486.00 / $33,669.80 / $75,919.62
| Facility | | $5,486.00 | $33,669.80 | $75,919.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $30,051.63 / $68,968.17
| Facility | | $5,264.00 | $30,051.63 | $68,968.17 |