- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,350.59 / $24,307.90 / $42,529.60
| Facility | | $18,350.59 | $24,307.90 | $42,529.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,480.40 / $19,094.72 / $22,531.92
| Facility | | $18,480.40 | $19,094.72 | $22,531.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,251.81 / $40,301.08
| Facility | | $5,939.30 | $20,251.81 | $40,301.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,407.93 / $24,904.67 / $37,971.44
| Facility | | $16,407.93 | $24,904.67 | $37,971.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $20,901.93 / $43,029.71
| Facility | | $3,496.00 | $20,901.93 | $43,029.71 |