- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $47,863.01 / $66,069.34
| Facility | | $25,703.96 | $47,863.01 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $67,608.30
| Facility | | $27,542.29 | $41,686.94 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $51,286.14 / $70,794.58
| Facility | | $25,118.86 | $51,286.14 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $37,153.52 / $75,857.76
| Facility | | $7,079.46 | $37,153.52 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $37,153.52 / $74,131.02
| Facility | | $6,456.54 | $37,153.52 | $74,131.02 |