- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $41,686.94 / $60,255.96
| Facility | | $28,183.83 | $41,686.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $23,442.29 / $39,810.72
| Facility | | $8,709.64 | $23,442.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $33,884.42 / $58,884.37
| Facility | | $25,118.86 | $33,884.42 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $38,904.51 / $56,234.13
| Facility | | $30,902.95 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $37,153.52 / $54,954.09
| Facility | | $19,498.45 | $37,153.52 | $54,954.09 |