- 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
- $11,981.41 / $32,895.56 / $55,189.09
| Facility | | $11,981.41 | $32,895.56 | $55,189.09 |
- 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
- $23,867.92 / $40,965.43 / $68,395.23
| Facility | | $23,867.92 | $40,965.43 | $68,395.23 |