- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,888.60 / $28,994.50 / $50,729.40
| Facility | | $21,888.60 | $28,994.50 | $50,729.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,672.21 / $22,788.56 / $43,442.05
| Facility | | $18,672.21 | $22,788.56 | $43,442.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $25,607.39 / $49,696.07
| Facility | | $5,939.30 | $25,607.39 | $49,696.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,506.59 / $27,817.83 / $45,292.50
| Facility | | $16,506.59 | $27,817.83 | $45,292.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,880.24 / $51,326.01
| Facility | | $3,496.00 | $29,880.24 | $51,326.01 |