- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,993.60 / $33,792.50 / $52,172.70
| Facility | | $22,993.60 | $33,792.50 | $52,172.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,000.05 / $58,287.69 / $74,727.81
| Facility | | $41,000.05 | $58,287.69 | $74,727.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,878.50 / $48,019.52 / $59,941.32
| Facility | | $25,878.50 | $48,019.52 | $59,941.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,993.60 / $34,563.90 / $55,269.10
| Facility | | $22,993.60 | $34,563.90 | $55,269.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,890.77 / $45,983.54 / $69,862.36
| Facility | | $26,890.77 | $45,983.54 | $69,862.36 |