- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,961.50 / $24,927.40 / $38,485.69
| Facility | | $16,961.50 | $24,927.40 | $38,485.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,042.26 / $58,347.71 / $74,804.75
| Facility | | $41,042.26 | $58,347.71 | $74,804.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,089.54 / $36,907.83 / $45,619.54
| Facility | | $19,089.54 | $36,907.83 | $45,619.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,961.50 / $25,496.40 / $40,769.80
| Facility | | $16,961.50 | $25,496.40 | $40,769.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,323.57 / $33,920.23 / $51,534.69
| Facility | | $22,323.57 | $33,920.23 | $51,534.69 |