- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $41,686.94 / $53,703.18
| Facility | | $30,199.52 | $41,686.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $37,153.52 / $51,286.14
| Facility | | $22,908.68 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $43,651.58 / $61,659.50
| Facility | | $22,908.68 | $43,651.58 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $37,153.52 / $47,863.01
| Facility | | $22,908.68 | $37,153.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $43,651.58 / $61,659.50
| Facility | | $20,892.96 | $43,651.58 | $61,659.50 |