- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,915.50 / $29,082.60 / $38,224.50
| Facility | | $19,915.50 | $29,082.60 | $38,224.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,541.39 / $20,538.04 / $34,737.32
| Facility | | $7,541.39 | $20,538.04 | $34,737.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,962.00 / $29,346.46 / $52,345.79
| Facility | | $20,962.00 | $29,346.46 | $52,345.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,051.02 / $32,600.79 / $47,599.81
| Facility | | $25,051.02 | $32,600.79 | $47,599.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,051.02 / $30,306.78 / $47,599.81
| Facility | | $25,051.02 | $30,306.78 | $47,599.81 |