- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,026.80 / $51,254.60 / $83,310.30
| Facility | | $30,026.80 | $51,254.60 | $83,310.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,708.80 / $39,984.55 / $49,786.38
| Facility | | $18,708.80 | $39,984.55 | $49,786.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,651.92 / $40,724.35 / $64,246.60
| Facility | | $25,651.92 | $40,724.35 | $64,246.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,568.52 / $35,889.56 / $66,376.27
| Facility | | $17,568.52 | $35,889.56 | $66,376.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,839.93 / $46,343.62 / $61,693.95
| Facility | | $29,839.93 | $46,343.62 | $61,693.95 |