- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $25,703.96 / $44,668.36
| Facility | | $20,417.38 | $25,703.96 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $24,547.09 / $29,512.09
| Facility | | $24,547.09 | $24,547.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $25,703.96 / $41,686.94
| Facility | | $15,135.61 | $25,703.96 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $34,673.69 / $44,668.36
| Facility | | $21,877.62 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,884.42 / $52,480.75
| Facility | | $18,620.87 | $33,884.42 | $52,480.75 |