- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $47,863.01 / $56,234.13
| Facility | | $25,703.96 | $47,863.01 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $48,977.88 / $72,443.60
| Facility | | $30,199.52 | $48,977.88 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $41,686.94 / $61,659.50
| Facility | | $28,183.83 | $41,686.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $39,810.72 / $56,234.13
| Facility | | $25,703.96 | $39,810.72 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $41,686.94 / $72,443.60
| Facility | | $4,466.84 | $41,686.94 | $72,443.60 |