- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,819.20 / $37,703.69 / $49,555.60
| Facility | | $25,819.20 | $37,703.69 | $49,555.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,025.45 / $24,579.73 / $41,573.30
| Facility | | $9,025.45 | $24,579.73 | $41,573.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,175.87 / $38,045.76 / $67,862.89
| Facility | | $27,175.87 | $38,045.76 | $67,862.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,477.01 / $42,264.79 / $61,710.04
| Facility | | $32,477.01 | $42,264.79 | $61,710.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,477.01 / $39,290.76 / $61,710.04
| Facility | | $32,477.01 | $39,290.76 | $61,710.04 |