- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,318.00 / $35,511.50 / $46,674.40
| Facility | | $24,318.00 | $35,511.50 | $46,674.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,238.53 / $46,947.00 / $79,404.53
| Facility | | $17,238.53 | $46,947.00 | $79,404.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,595.84 / $35,833.74 / $65,067.97
| Facility | | $25,595.84 | $35,833.74 | $65,067.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,588.76 / $39,807.47 / $58,122.15
| Facility | | $30,588.76 | $39,807.47 | $58,122.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,588.76 / $37,006.35 / $58,122.15
| Facility | | $30,588.76 | $37,006.35 | $58,122.15 |