- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $52,480.75 / $67,608.30
| Facility | | $37,153.52 | $52,480.75 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $45,708.82 / $63,095.73
| Facility | | $28,840.32 | $45,708.82 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $54,954.09 / $77,624.71
| Facility | | $28,840.32 | $54,954.09 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $50,118.72 / $63,095.73
| Facility | | $28,840.32 | $50,118.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $54,954.09 / $77,624.71
| Facility | | $25,703.96 | $54,954.09 | $77,624.71 |