- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,522.60 / $38,730.90 / $50,905.70
| Facility | | $26,522.60 | $38,730.90 | $50,905.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,212.23 / $41,428.64 / $70,070.96
| Facility | | $15,212.23 | $41,428.64 | $70,070.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,916.26 / $39,082.28 / $69,711.75
| Facility | | $27,916.26 | $39,082.28 | $69,711.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,361.82 / $43,416.26 / $63,391.28
| Facility | | $33,361.82 | $43,416.26 | $63,391.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,361.82 / $40,361.19 / $63,391.28
| Facility | | $33,361.82 | $40,361.19 | $63,391.28 |