- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $36,307.81 / $47,863.01
| Facility | | $22,387.21 | $36,307.81 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $47,863.01 / $58,884.37
| Facility | | $32,359.37 | $47,863.01 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $44,668.36
| Facility | | $22,908.68 | $33,884.42 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,199.52 / $50,118.72
| Facility | | $19,952.62 | $30,199.52 | $50,118.72 |