- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $31,622.78 / $61,659.50
| Facility | | $26,302.68 | $31,622.78 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $33,884.42 / $45,708.82
| Facility | | $32,359.37 | $33,884.42 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $34,673.69 / $54,954.09
| Facility | | $19,952.62 | $34,673.69 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $47,863.01 / $60,255.96
| Facility | | $30,199.52 | $47,863.01 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $46,773.51 / $72,443.60
| Facility | | $24,547.09 | $46,773.51 | $72,443.60 |