- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,119.80 / $33,761.69 / $44,374.50
| Facility | | $23,119.80 | $33,761.69 | $44,374.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,440.44 / $22,763.27 / $38,501.00
| Facility | | $8,440.44 | $22,763.27 | $38,501.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,334.62 / $34,068.05 / $61,861.77
| Facility | | $24,334.62 | $34,068.05 | $61,861.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,081.51 / $37,845.98 / $55,258.21
| Facility | | $29,081.51 | $37,845.98 | $55,258.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,081.51 / $35,182.87 / $55,258.21
| Facility | | $29,081.51 | $35,182.87 | $55,258.21 |