- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,927.70 / $43,703.30 / $57,441.10
| Facility | | $29,927.70 | $43,703.30 | $57,441.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,665.29 / $34,492.35 / $58,339.17
| Facility | | $12,665.29 | $34,492.35 | $58,339.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,402.40 / $43,897.49 / $73,474.48
| Facility | | $30,402.40 | $43,897.49 | $73,474.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,644.91 / $48,990.18 / $71,529.64
| Facility | | $37,644.91 | $48,990.18 | $71,529.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,644.91 / $45,542.90 / $71,529.64
| Facility | | $37,644.91 | $45,542.90 | $71,529.64 |