- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,542.59 / $24,124.60 / $39,161.90
| Facility | | $16,542.59 | $24,124.60 | $39,161.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,463.83 / $54,682.08 / $70,105.23
| Facility | | $38,463.83 | $54,682.08 | $70,105.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,424.90 / $37,556.22 / $46,177.32
| Facility | | $19,424.90 | $37,556.22 | $46,177.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,259.40 / $25,944.30 / $41,486.10
| Facility | | $17,259.40 | $25,944.30 | $41,486.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,184.73 / $34,516.12 / $52,440.04
| Facility | | $20,184.73 | $34,516.12 | $52,440.04 |