- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,100.40 / $26,431.90 / $34,740.69
| Facility | | $18,100.40 | $26,431.90 | $34,740.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,820.98 / $29,469.62 / $49,843.89
| Facility | | $10,820.98 | $29,469.62 | $49,843.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,387.50 / $26,549.40 / $47,574.89
| Facility | | $18,387.50 | $26,549.40 | $47,574.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,767.82 / $29,629.49 / $43,261.47
| Facility | | $22,767.82 | $29,629.49 | $43,261.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,767.82 / $27,544.56 / $43,261.47
| Facility | | $22,767.82 | $27,544.56 | $43,261.47 |