- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,106.12 / $41,188.16 / $41,188.16
| Facility | | $36,106.12 | $41,188.16 | $41,188.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,436.68 / $28,284.36 / $48,313.54
| Facility | | $17,436.68 | $28,284.36 | $48,313.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,874.91 / $42,805.00 / $53,649.00
| Facility | | $26,874.91 | $42,805.00 | $53,649.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,321.81 / $30,806.42 / $46,169.09
| Facility | | $21,321.81 | $30,806.42 | $46,169.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,089.22 / $25,089.22 / $43,662.14
| Facility | | $25,089.22 | $25,089.22 | $43,662.14 |