- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,019.50 / $44,414.30 / $72,191.89
| Facility | | $26,019.50 | $44,414.30 | $72,191.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,731.22 / $35,309.83 / $48,898.86
| Facility | | $34,731.22 | $35,309.83 | $48,898.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,228.46 / $39,593.98 / $62,668.00
| Facility | | $22,228.46 | $39,593.98 | $62,668.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,370.23 / $35,212.64 / $66,174.42
| Facility | | $20,370.23 | $35,212.64 | $66,174.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,448.85 / $41,250.00 / $53,460.40
| Facility | | $28,448.85 | $41,250.00 | $53,460.40 |