- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,206.70 / $36,809.30 / $48,380.10
| Facility | | $25,206.70 | $36,809.30 | $48,380.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,129.60 / $27,586.73 / $46,659.24
| Facility | | $10,129.60 | $27,586.73 | $46,659.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,606.58 / $36,972.90 / $61,884.28
| Facility | | $25,606.58 | $36,972.90 | $61,884.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,706.64 / $41,262.25 / $60,246.24
| Facility | | $31,706.64 | $41,262.25 | $60,246.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,706.64 / $38,358.76 / $60,246.24
| Facility | | $31,706.64 | $38,358.76 | $60,246.24 |