- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $50,118.72 / $57,543.99
| Facility | | $25,703.96 | $50,118.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $51,286.14 / $72,443.60
| Facility | | $32,359.37 | $51,286.14 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $43,651.58 / $66,069.34
| Facility | | $28,840.32 | $43,651.58 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $48,977.88 / $63,095.73
| Facility | | $25,703.96 | $48,977.88 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $41,686.94 / $75,857.76
| Facility | | $4,466.84 | $41,686.94 | $75,857.76 |