- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $35,481.34 / $45,708.82
| Facility | | $25,118.86 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,902.95 / $42,657.95
| Facility | | $21,379.62 | $30,902.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $37,153.52 / $52,480.75
| Facility | | $19,498.45 | $37,153.52 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $35,481.34 / $44,668.36
| Facility | | $22,387.21 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $37,153.52 / $52,480.75
| Facility | | $17,782.79 | $37,153.52 | $52,480.75 |