- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $44,668.36 / $47,863.01
| Facility | | $26,302.68 | $44,668.36 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $43,651.58 / $61,659.50
| Facility | | $29,512.09 | $43,651.58 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $35,481.34 / $53,703.18
| Facility | | $24,547.09 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $32,359.37 / $47,863.01
| Facility | | $20,892.96 | $32,359.37 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $40,738.03 / $63,095.73
| Facility | | $4,073.80 | $40,738.03 | $63,095.73 |