- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,628.80 / $35,212.60 / $57,235.20
| Facility | | $20,628.80 | $35,212.60 | $57,235.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,384.00 / $29,375.46 / $38,286.08
| Facility | | $12,384.00 | $29,375.46 | $38,286.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,689.07 / $27,978.12 / $44,138.19
| Facility | | $17,689.07 | $27,978.12 | $44,138.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,185.59 / $32,759.25 / $62,873.97
| Facility | | $17,185.59 | $32,759.25 | $62,873.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,500.39 / $31,838.63 / $42,384.49
| Facility | | $20,500.39 | $31,838.63 | $42,384.49 |