- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,376.40 / $32,885.40 / $50,772.20
| Facility | | $22,376.40 | $32,885.40 | $50,772.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,798.68 / $69,374.61 / $88,941.81
| Facility | | $48,798.68 | $69,374.61 | $88,941.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.34 / $43,816.22 / $58,174.99
| Facility | | $74.34 | $43,816.22 | $58,174.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,376.40 / $33,636.00 / $53,785.50
| Facility | | $22,376.40 | $33,636.00 | $53,785.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,168.91 / $44,749.17 / $67,986.99
| Facility | | $26,168.91 | $44,749.17 | $67,986.99 |