- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $47,863.01
| Facility | | $24,547.09 | $41,686.94 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $27,542.29 / $27,542.29
| Facility | | $27,542.29 | $27,542.29 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $39,810.72 / $52,480.75
| Facility | | $21,379.62 | $39,810.72 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,902.95 / $75,857.76
| Facility | | $19,952.62 | $30,902.95 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,199.52 / $44,668.36
| Facility | | $18,620.87 | $30,199.52 | $44,668.36 |