- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $52,480.75 / $67,608.30
| Facility | | $35,481.34 | $52,480.75 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $22,387.21 / $47,863.01
| Facility | | $11,481.54 | $22,387.21 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,703.96 / $46,773.51
| Facility | | $18,620.87 | $25,703.96 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,703.96 / $46,773.51
| Facility | | $18,620.87 | $25,703.96 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $32,359.37 / $52,480.75
| Facility | | $5,370.32 | $32,359.37 | $52,480.75 |