- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,078.59 / $29,320.80 / $38,537.60
| Facility | | $20,078.59 | $29,320.80 | $38,537.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,383.85 / $17,216.80 / $29,119.89
| Facility | | $6,383.85 | $17,216.80 | $29,119.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,397.13 / $29,451.06 / $52,774.47
| Facility | | $20,397.13 | $29,451.06 | $52,774.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,256.17 / $32,867.76 / $47,989.62
| Facility | | $25,256.17 | $32,867.76 | $47,989.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,256.17 / $30,554.97 / $47,989.62
| Facility | | $25,256.17 | $30,554.97 | $47,989.62 |