- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,440.30 / $37,224.60 / $49,952.50
| Facility | | $22,440.30 | $37,224.60 | $49,952.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,596.92 / $30,260.70 / $52,851.10
| Facility | | $23,596.92 | $30,260.70 | $52,851.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,482.41 / $31,198.33 / $49,918.53
| Facility | | $18,482.41 | $31,198.33 | $49,918.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,426.48 / $29,971.50 / $68,736.64
| Facility | | $18,426.48 | $29,971.50 | $68,736.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.20 / $29,523.93 / $41,824.23
| Facility | | $21,877.20 | $29,523.93 | $41,824.23 |