- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,947.50 / $31,594.60 / $52,570.30
| Facility | | $18,947.50 | $31,594.60 | $52,570.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,955.68 / $21,903.44 / $28,774.67
| Facility | | $19,955.68 | $21,903.44 | $28,774.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,247.35 / $25,697.81 / $40,540.78
| Facility | | $16,247.35 | $25,697.81 | $40,540.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,230.28 / $34,754.11 / $71,179.50
| Facility | | $16,230.28 | $34,754.11 | $71,179.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,010.00 / $29,404.00 / $40,200.93
| Facility | | $19,010.00 | $29,404.00 | $40,200.93 |