- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $34,673.69 / $44,668.36
| Facility | | $24,547.09 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,199.52 / $41,686.94
| Facility | | $19,054.61 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $36,307.81 / $50,118.72
| Facility | | $19,054.61 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,884.42 / $41,686.94
| Facility | | $19,054.61 | $33,884.42 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $36,307.81 / $50,118.72
| Facility | | $17,378.01 | $36,307.81 | $50,118.72 |