- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,535.40 / $22,831.60 / $35,250.10
| Facility | | $15,535.40 | $22,831.60 | $35,250.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,096.08 / $48,472.66 / $62,144.44
| Facility | | $34,096.08 | $48,472.66 | $62,144.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,484.59 / $33,804.82 / $42,559.57
| Facility | | $17,484.59 | $33,804.82 | $42,559.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,535.40 / $23,352.80 / $37,342.10
| Facility | | $15,535.40 | $23,352.80 | $37,342.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,168.53 / $29,668.72 / $46,658.44
| Facility | | $18,168.53 | $29,668.72 | $46,658.44 |