- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,217.20 / $25,142.30 / $33,045.60
| Facility | | $17,217.20 | $25,142.30 | $33,045.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,321.91 / $28,339.33 / $47,545.06
| Facility | | $10,321.91 | $28,339.33 | $47,545.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,121.91 / $25,370.38 / $46,068.29
| Facility | | $18,121.91 | $25,370.38 | $46,068.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,656.92 / $28,183.79 / $41,150.62
| Facility | | $21,656.92 | $28,183.79 | $41,150.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,934.28 / $27,120.81 / $39,764.87
| Facility | | $17,934.28 | $27,120.81 | $39,764.87 |