- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $24,547.09 / $40,738.03
| Facility | | $17,782.79 | $24,547.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $44,668.36 / $58,884.37
| Facility | | $31,622.78 | $44,668.36 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $36,307.81 / $50,118.72
| Facility | | $29,512.09 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $37,153.52 / $48,977.88
| Facility | | $21,877.62 | $37,153.52 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $51,286.14
| Facility | | $21,877.62 | $33,884.42 | $51,286.14 |