- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,118.40 / $39,600.90 / $52,049.20
| Facility | | $27,118.40 | $39,600.90 | $52,049.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,813.58 / $48,908.07 / $82,053.37
| Facility | | $17,813.58 | $48,908.07 | $82,053.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,543.37 / $39,960.23 / $71,277.75
| Facility | | $28,543.37 | $39,960.23 | $71,277.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,111.26 / $44,391.56 / $64,815.30
| Facility | | $34,111.26 | $44,391.56 | $64,815.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,111.26 / $41,267.87 / $64,815.30
| Facility | | $34,111.26 | $41,267.87 | $64,815.30 |