- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,229.90 / $38,399.10 / $63,751.50
| Facility | | $24,229.90 | $38,399.10 | $63,751.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,669.68 / $34,225.19 / $58,613.88
| Facility | | $19,669.68 | $34,225.19 | $58,613.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,098.76 / $41,974.28 / $60,816.00
| Facility | | $33,098.76 | $41,974.28 | $60,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,575.63 / $39,258.29 / $65,914.42
| Facility | | $20,575.63 | $39,258.29 | $65,914.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,788.81 / $38,030.33 / $55,175.60
| Facility | | $19,788.81 | $38,030.33 | $55,175.60 |