- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $43,651.58 / $46,773.51
| Facility | | $25,703.96 | $43,651.58 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $42,657.95 / $58,884.37
| Facility | | $28,840.32 | $42,657.95 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $34,673.69 / $52,480.75
| Facility | | $16,218.10 | $34,673.69 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $30,902.95 / $46,773.51
| Facility | | $15,488.17 | $30,902.95 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,168.69 / $33,113.11 / $61,659.50
| Facility | | $4,168.69 | $33,113.11 | $61,659.50 |