- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,159.60 / $30,857.70 / $50,091.80
| Facility | | $21,159.60 | $30,857.70 | $50,091.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,341.44 / $50,243.15 / $64,414.30
| Facility | | $35,341.44 | $50,243.15 | $64,414.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,846.34 / $48,019.52 / $60,463.56
| Facility | | $24,846.34 | $48,019.52 | $60,463.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,076.50 / $33,185.30 / $53,064.80
| Facility | | $22,076.50 | $33,185.30 | $53,064.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,818.24 / $44,149.51 / $67,075.92
| Facility | | $25,818.24 | $44,149.51 | $67,075.92 |