- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,409.59 / $28,343.80 / $37,253.50
| Facility | | $19,409.59 | $28,343.80 | $37,253.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,639.86 / $15,359.46 / $25,978.45
| Facility | | $5,639.86 | $15,359.46 | $25,978.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,717.49 / $28,469.74 / $47,651.91
| Facility | | $19,717.49 | $28,469.74 | $47,651.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,414.63 / $31,772.60 / $46,390.59
| Facility | | $24,414.63 | $31,772.60 | $46,390.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,414.63 / $29,536.87 / $46,390.59
| Facility | | $24,414.63 | $29,536.87 | $46,390.59 |