- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,018.94 / $53,703.18
| Facility | | $25,118.86 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $17,782.79 / $30,199.52
| Facility | | $6,606.93 | $17,782.79 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $52,480.75
| Facility | | $22,387.21 | $30,902.95 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $36,307.81 / $51,286.14
| Facility | | $28,183.83 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $51,286.14
| Facility | | $17,782.79 | $33,884.42 | $51,286.14 |