- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,165.00 / $28,165.80 / $43,485.50
| Facility | | $19,165.00 | $28,165.80 | $43,485.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,794.47 / $50,887.18 / $65,239.97
| Facility | | $35,794.47 | $50,887.18 | $65,239.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,569.52 / $41,702.65 / $49,960.62
| Facility | | $21,569.52 | $41,702.65 | $49,960.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,165.00 / $28,808.70 / $46,066.40
| Facility | | $19,165.00 | $28,808.70 | $46,066.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,413.24 / $38,326.92 / $58,229.73
| Facility | | $22,413.24 | $38,326.92 | $58,229.73 |