- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,377.70 / $35,826.60 / $55,313.20
| Facility | | $24,377.70 | $35,826.60 | $55,313.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,255.50 / $44,977.90 / $56,956.61
| Facility | | $31,255.50 | $44,977.90 | $56,956.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,480.56 / $48,019.52 / $63,549.45
| Facility | | $26,480.56 | $48,019.52 | $63,549.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,377.70 / $36,644.40 / $58,596.00
| Facility | | $24,377.70 | $36,644.40 | $58,596.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,509.44 / $48,751.49 / $74,067.67
| Facility | | $28,509.44 | $48,751.49 | $74,067.67 |