- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,358.70 / $37,031.30 / $48,671.90
| Facility | | $25,358.70 | $37,031.30 | $48,671.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,686.85 / $31,827.70 / $53,832.26
| Facility | | $11,686.85 | $31,827.70 | $53,832.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,761.00 / $37,195.85 / $62,257.46
| Facility | | $25,761.00 | $37,195.85 | $62,257.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,897.83 / $41,511.07 / $60,609.54
| Facility | | $31,897.83 | $41,511.07 | $60,609.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,897.83 / $38,590.07 / $60,609.54
| Facility | | $31,897.83 | $38,590.07 | $60,609.54 |