- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,975.10 / $30,629.90 / $40,258.19
| Facility | | $20,975.10 | $30,629.90 | $40,258.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,630.52 / $23,504.16 / $39,754.12
| Facility | | $8,630.52 | $23,504.16 | $39,754.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,077.26 / $30,907.78 / $55,130.76
| Facility | | $22,077.26 | $30,907.78 | $55,130.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,383.82 / $34,335.26 / $50,132.28
| Facility | | $26,383.82 | $34,335.26 | $50,132.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,383.82 / $31,919.20 / $50,132.28
| Facility | | $26,383.82 | $31,919.20 | $50,132.28 |