- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,077.50 / $29,319.10 / $38,535.40
| Facility | | $20,077.50 | $29,319.10 | $38,535.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,959.79 / $24,400.89 / $41,270.83
| Facility | | $8,959.79 | $24,400.89 | $41,270.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,132.51 / $29,585.15 / $53,721.60
| Facility | | $21,132.51 | $29,585.15 | $53,721.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,254.78 / $32,865.96 / $47,986.97
| Facility | | $25,254.78 | $32,865.96 | $47,986.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,254.78 / $30,553.29 / $47,986.97
| Facility | | $25,254.78 | $30,553.29 | $47,986.97 |