- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,135.90 / $26,483.80 / $34,808.80
| Facility | | $18,135.90 | $26,483.80 | $34,808.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,100.46 / $16,613.86 / $28,100.11
| Facility | | $6,100.46 | $16,613.86 | $28,100.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,423.58 / $26,601.48 / $44,524.87
| Facility | | $18,423.58 | $26,601.48 | $44,524.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,812.48 / $29,687.61 / $43,346.32
| Facility | | $22,812.48 | $29,687.61 | $43,346.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,812.48 / $27,598.59 / $43,346.32
| Facility | | $22,812.48 | $27,598.59 | $43,346.32 |