- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $50,118.72 / $67,608.30
| Facility | | $26,302.68 | $50,118.72 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $67,608.30
| Facility | | $27,542.29 | $41,686.94 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $53,703.18 / $72,443.60
| Facility | | $25,703.96 | $53,703.18 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $38,904.51 / $79,432.82
| Facility | | $7,079.46 | $38,904.51 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $38,904.51 / $75,857.76
| Facility | | $6,456.54 | $38,904.51 | $75,857.76 |