- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,198.30 / $34,093.40 / $52,637.20
| Facility | | $23,198.30 | $34,093.40 | $52,637.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,603.52 / $113,168.28 / $145,087.54
| Facility | | $79,603.52 | $113,168.28 | $145,087.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,108.88 / $48,019.52 / $60,474.95
| Facility | | $26,108.88 | $48,019.52 | $60,474.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,198.30 / $34,871.60 / $55,761.20
| Facility | | $23,198.30 | $34,871.60 | $55,761.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,130.16 / $46,392.91 / $70,484.32
| Facility | | $27,130.16 | $46,392.91 | $70,484.32 |