- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,759.90 / $34,696.60 / $45,603.20
| Facility | | $23,759.90 | $34,696.60 | $45,603.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,506.75 / $34,060.58 / $57,608.91
| Facility | | $12,506.75 | $34,060.58 | $57,608.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,008.44 / $35,011.37 / $62,450.42
| Facility | | $25,008.44 | $35,011.37 | $62,450.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,886.77 / $38,893.92 / $56,788.30
| Facility | | $29,886.77 | $38,893.92 | $56,788.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,886.77 / $36,157.08 / $56,788.30
| Facility | | $29,886.77 | $36,157.08 | $56,788.30 |