- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,012.09 / $29,223.50 / $38,409.80
| Facility | | $20,012.09 | $29,223.50 | $38,409.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,836.87 / $18,619.38 / $31,492.18
| Facility | | $6,836.87 | $18,619.38 | $31,492.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,329.50 / $29,353.41 / $52,599.50
| Facility | | $20,329.50 | $29,353.41 | $52,599.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,172.44 / $32,758.80 / $47,830.52
| Facility | | $25,172.44 | $32,758.80 | $47,830.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,172.44 / $30,453.67 / $47,830.52
| Facility | | $25,172.44 | $30,453.67 | $47,830.52 |