- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $33,113.11 / $51,286.14
| Facility | | $25,703.96 | $33,113.11 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $21,877.62 / $21,877.62
| Facility | | $21,877.62 | $21,877.62 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $27,542.29 / $44,668.36
| Facility | | $14,125.38 | $27,542.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,904.51 / $50,118.72
| Facility | | $20,417.38 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $36,307.81 / $56,234.13
| Facility | | $21,379.62 | $36,307.81 | $56,234.13 |