- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,113.11 / $57,543.99
| Facility | | $26,302.68 | $33,113.11 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $31,622.78 / $37,153.52
| Facility | | $26,302.68 | $31,622.78 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $33,113.11 / $54,954.09
| Facility | | $19,498.45 | $33,113.11 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $44,668.36 / $57,543.99
| Facility | | $28,840.32 | $44,668.36 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $44,668.36 / $70,794.58
| Facility | | $23,988.33 | $44,668.36 | $70,794.58 |