- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $51,286.14
| Facility | | $23,988.33 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $16,218.10 / $27,542.29
| Facility | | $6,025.60 | $16,218.10 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,840.32 / $48,977.88
| Facility | | $21,379.62 | $28,840.32 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,884.42 / $47,863.01
| Facility | | $26,302.68 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $31,622.78 / $48,977.88
| Facility | | $16,595.87 | $31,622.78 | $48,977.88 |