- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,496.50 / $27,010.40 / $35,500.90
| Facility | | $18,496.50 | $27,010.40 | $35,500.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,049.84 / $21,922.74 / $37,079.36
| Facility | | $8,049.84 | $21,922.74 | $37,079.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,789.88 / $27,130.39 / $48,615.97
| Facility | | $18,789.88 | $27,130.39 | $48,615.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,266.05 / $30,277.87 / $44,208.16
| Facility | | $23,266.05 | $30,277.87 | $44,208.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,266.05 / $28,147.32 / $44,208.16
| Facility | | $23,266.05 | $28,147.32 | $44,208.16 |