- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $43,651.58 / $56,234.13
| Facility | | $31,622.78 | $43,651.58 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $53,703.18
| Facility | | $25,703.96 | $38,904.51 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $45,708.82 / $64,565.42
| Facility | | $23,988.33 | $45,708.82 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $40,738.03 / $53,703.18
| Facility | | $25,703.96 | $40,738.03 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $45,708.82 / $64,565.42
| Facility | | $21,877.62 | $45,708.82 | $64,565.42 |