- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,273.09 / $28,144.50 / $36,991.50
| Facility | | $19,273.09 | $28,144.50 | $36,991.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,917.55 / $18,839.09 / $31,863.79
| Facility | | $6,917.55 | $18,839.09 | $31,863.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,285.84 / $28,399.85 / $50,657.31
| Facility | | $20,285.84 | $28,399.85 | $50,657.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,242.97 / $31,549.21 / $46,064.42
| Facility | | $24,242.97 | $31,549.21 | $46,064.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,242.97 / $29,329.20 / $46,064.42
| Facility | | $24,242.97 | $29,329.20 | $46,064.42 |