- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,682.13 / $28,153.02 / $28,153.02
| Facility | | $24,682.13 | $28,153.02 | $28,153.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,292.48 / $24,649.73 / $46,278.45
| Facility | | $15,292.48 | $24,649.73 | $46,278.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,876.17 / $33,927.65 / $43,978.56
| Facility | | $26,876.17 | $33,927.65 | $43,978.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,212.50 / $30,807.87 / $45,260.31
| Facility | | $20,212.50 | $30,807.87 | $45,260.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,090.39 / $25,090.39 / $43,664.19
| Facility | | $25,090.39 | $25,090.39 | $43,664.19 |