- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,411.09 / $29,948.50 / $49,721.60
| Facility | | $19,411.09 | $29,948.50 | $49,721.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,003.71 / $27,035.14 / $45,688.79
| Facility | | $18,003.71 | $27,035.14 | $45,688.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,814.65 / $32,552.00 / $48,015.00
| Facility | | $25,814.65 | $32,552.00 | $48,015.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,433.84 / $30,685.39 / $80,505.46
| Facility | | $15,433.84 | $30,685.39 | $80,505.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,047.50 / $28,148.60 / $42,483.51
| Facility | | $16,047.50 | $28,148.60 | $42,483.51 |