- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $36,307.81 / $50,118.72
| Facility | | $19,498.45 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $32,359.37 / $53,703.18
| Facility | | $21,877.62 | $32,359.37 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $38,904.51 / $53,703.18
| Facility | | $19,054.61 | $38,904.51 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $28,183.83 / $52,480.75
| Facility | | $7,079.46 | $28,183.83 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $26,915.35 / $52,480.75
| Facility | | $6,456.54 | $26,915.35 | $52,480.75 |