- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,624.50 / $30,117.90 / $39,585.30
| Facility | | $20,624.50 | $30,117.90 | $39,585.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,326.60 / $28,123.24 / $47,566.67
| Facility | | $10,326.60 | $28,123.24 | $47,566.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,708.23 / $30,391.16 / $54,209.24
| Facility | | $21,708.23 | $30,391.16 | $54,209.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,942.81 / $33,761.33 / $49,294.31
| Facility | | $25,942.81 | $33,761.33 | $49,294.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,202.25 / $28,829.68 / $46,022.65
| Facility | | $17,202.25 | $28,829.68 | $46,022.65 |