- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $37,153.52 / $47,863.01
| Facility | | $26,302.68 | $37,153.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $45,708.82
| Facility | | $20,892.96 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,904.51 / $54,954.09
| Facility | | $20,417.38 | $38,904.51 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $35,481.34 / $45,708.82
| Facility | | $20,892.96 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $38,904.51 / $54,954.09
| Facility | | $18,620.87 | $38,904.51 | $54,954.09 |