- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,327.20 / $34,064.69 / $44,772.70
| Facility | | $23,327.20 | $34,064.69 | $44,772.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,276.51 / $46,418.89 / $86,499.34
| Facility | | $16,276.51 | $46,418.89 | $86,499.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,553.00 / $34,373.76 / $61,313.11
| Facility | | $24,553.00 | $34,373.76 | $61,313.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,342.49 / $38,185.61 / $55,754.10
| Facility | | $29,342.49 | $38,185.61 | $55,754.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,342.49 / $35,498.61 / $55,754.10
| Facility | | $29,342.49 | $35,498.61 | $55,754.10 |