- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,793.90 / $31,825.60 / $41,829.80
| Facility | | $21,793.90 | $31,825.60 | $41,829.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,033.86 / $16,566.25 / $27,793.32
| Facility | | $6,033.86 | $16,566.25 | $27,793.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,939.10 / $32,114.34 / $57,282.92
| Facility | | $22,939.10 | $32,114.34 | $57,282.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,413.77 / $35,675.62 / $52,089.31
| Facility | | $27,413.77 | $35,675.62 | $52,089.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,413.77 / $33,165.24 / $52,089.31
| Facility | | $27,413.77 | $33,165.24 | $52,089.31 |