- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,047.80 / $26,556.10 / $46,463.20
| Facility | | $20,047.80 | $26,556.10 | $46,463.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,884.92 / $21,167.39 / $33,373.91
| Facility | | $13,884.92 | $21,167.39 | $33,373.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $22,816.92 / $46,387.71
| Facility | | $5,939.30 | $22,816.92 | $46,387.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,118.42 / $25,478.40 / $41,483.48
| Facility | | $15,118.42 | $25,478.40 | $41,483.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $27,367.36 / $41,800.26
| Facility | | $3,496.00 | $27,367.36 | $41,800.26 |