- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,157.10 / $35,276.60 / $46,365.60
| Facility | | $24,157.10 | $35,276.60 | $46,365.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,420.52 / $47,442.64 / $80,242.83
| Facility | | $17,420.52 | $47,442.64 | $80,242.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,426.51 / $35,596.68 / $63,494.42
| Facility | | $25,426.51 | $35,596.68 | $63,494.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,386.40 / $39,544.12 / $57,737.64
| Facility | | $30,386.40 | $39,544.12 | $57,737.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,386.40 / $36,761.53 / $57,737.64
| Facility | | $30,386.40 | $36,761.53 | $57,737.64 |