- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,172.20 / $27,997.10 / $36,797.80
| Facility | | $19,172.20 | $27,997.10 | $36,797.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,501.07 / $23,113.43 / $38,777.55
| Facility | | $8,501.07 | $23,113.43 | $38,777.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,179.58 / $28,251.07 / $50,391.94
| Facility | | $20,179.58 | $28,251.07 | $50,391.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,115.97 / $31,383.94 / $45,823.10
| Facility | | $24,115.97 | $31,383.94 | $45,823.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,115.97 / $29,175.55 / $45,823.10
| Facility | | $24,115.97 | $29,175.55 | $45,823.10 |