- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,840.32 / $42,657.95
| Facility | | $19,498.45 | $28,840.32 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $19,054.61 / $25,703.96
| Facility | | $19,054.61 | $19,054.61 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $28,840.32 / $48,977.88
| Facility | | $10,715.19 | $28,840.32 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $23,442.29 / $36,307.81
| Facility | | $16,218.10 | $23,442.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,302.68 / $39,810.72
| Facility | | $19,054.61 | $26,302.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $25,118.86 / $38,904.51
| Facility | | $14,454.40 | $25,118.86 | $38,904.51 |