- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,862.40 / $33,385.80 / $43,880.50
| Facility | | $22,862.40 | $33,385.80 | $43,880.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,708.46 / $37,333.29 / $63,144.23
| Facility | | $13,708.46 | $37,333.29 | $63,144.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,063.69 / $33,688.75 / $61,173.03
| Facility | | $24,063.69 | $33,688.75 | $61,173.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,757.73 / $37,424.62 / $54,642.99
| Facility | | $28,757.73 | $37,424.62 | $54,642.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,757.73 / $34,791.17 / $54,642.99
| Facility | | $28,757.73 | $34,791.17 | $54,642.99 |