- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,510.09 / $24,264.10 / $37,461.60
| Facility | | $16,510.09 | $24,264.10 | $37,461.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,601.67 / $42,083.20 / $53,952.82
| Facility | | $29,601.67 | $42,083.20 | $53,952.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,581.56 / $35,925.71 / $45,149.65
| Facility | | $18,581.56 | $35,925.71 | $45,149.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,510.09 / $24,817.90 / $39,685.00
| Facility | | $16,510.09 | $24,817.90 | $39,685.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,308.41 / $33,017.61 / $50,163.35
| Facility | | $19,308.41 | $33,017.61 | $50,163.35 |