- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,599.30 / $28,620.80 / $37,617.60
| Facility | | $19,599.30 | $28,620.80 | $37,617.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,371.60 / $22,799.04 / $38,561.50
| Facility | | $8,371.60 | $22,799.04 | $38,561.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,910.22 / $28,748.02 / $51,514.67
| Facility | | $19,910.22 | $28,748.02 | $51,514.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,653.27 / $32,083.17 / $46,844.05
| Facility | | $24,653.27 | $32,083.17 | $46,844.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,653.27 / $29,825.59 / $46,844.05
| Facility | | $24,653.27 | $29,825.59 | $46,844.05 |