- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,632.40 / $34,510.30 / $45,358.40
| Facility | | $23,632.40 | $34,510.30 | $45,358.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,207.48 / $30,522.20 / $51,624.18
| Facility | | $11,207.48 | $30,522.20 | $51,624.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,874.14 / $34,823.37 / $63,233.31
| Facility | | $24,874.14 | $34,823.37 | $63,233.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,726.28 / $38,685.06 / $56,483.34
| Facility | | $29,726.28 | $38,685.06 | $56,483.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,726.28 / $35,962.92 / $56,483.34
| Facility | | $29,726.28 | $35,962.92 | $56,483.34 |