- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,905.80 / $27,784.90 / $42,897.50
| Facility | | $18,905.80 | $27,784.90 | $42,897.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,213.61 / $41,531.51 / $53,245.52
| Facility | | $29,213.61 | $41,531.51 | $53,245.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,277.84 / $41,138.71 / $49,285.01
| Facility | | $21,277.84 | $41,138.71 | $49,285.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,905.80 / $28,419.10 / $45,443.40
| Facility | | $18,905.80 | $28,419.10 | $45,443.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,110.15 / $37,808.62 / $57,442.30
| Facility | | $22,110.15 | $37,808.62 | $57,442.30 |