- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,249.90 / $19,472.70 / $30,064.20
| Facility | | $13,249.90 | $19,472.70 | $30,064.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,184.55 / $54,285.04 / $69,596.21
| Facility | | $38,184.55 | $54,285.04 | $69,596.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,912.31 / $28,831.56 / $36,466.71
| Facility | | $14,912.31 | $28,831.56 | $36,466.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,249.90 / $19,917.20 / $31,848.50
| Facility | | $13,249.90 | $19,917.20 | $31,848.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,495.63 / $26,497.72 / $40,257.73
| Facility | | $15,495.63 | $26,497.72 | $40,257.73 |