- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,329.20 / $30,040.50 / $45,355.30
| Facility | | $18,329.20 | $30,040.50 | $45,355.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,668.69 / $35,027.72 / $54,726.53
| Facility | | $21,668.69 | $35,027.72 | $54,726.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,056.84 / $33,094.00 / $53,734.51
| Facility | | $19,056.84 | $33,094.00 | $53,734.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $27,874.96 / $63,541.16
| Facility | | $7,117.00 | $27,874.96 | $63,541.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,874.96 / $56,465.99
| Facility | | $3,308.00 | $27,874.96 | $56,465.99 |