- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,616.20 / $41,788.19 / $54,924.10
| Facility | | $28,616.20 | $41,788.19 | $54,924.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,102.44 / $35,682.89 / $60,352.80
| Facility | | $13,102.44 | $35,682.89 | $60,352.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,070.16 / $41,973.90 / $70,254.83
| Facility | | $29,070.16 | $41,973.90 | $70,254.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,995.32 / $46,843.43 / $68,395.23
| Facility | | $35,995.32 | $46,843.43 | $68,395.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,995.32 / $43,547.21 / $68,395.23
| Facility | | $35,995.32 | $43,547.21 | $68,395.23 |