- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,219.40 / $25,145.50 / $33,049.80
| Facility | | $17,219.40 | $25,145.50 | $33,049.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,003.85 / $19,074.14 / $32,261.33
| Facility | | $7,003.85 | $19,074.14 | $32,261.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,124.25 / $25,373.65 / $45,259.42
| Facility | | $18,124.25 | $25,373.65 | $45,259.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,659.71 / $28,187.42 / $41,155.94
| Facility | | $21,659.71 | $28,187.42 | $41,155.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,659.71 / $26,203.97 / $41,155.94
| Facility | | $21,659.71 | $26,203.97 | $41,155.94 |