- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,162.02 / $26,422.14 / $26,422.14
| Facility | | $23,162.02 | $26,422.14 | $26,422.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,332.89 / $27,732.63 / $46,110.93
| Facility | | $17,332.89 | $27,732.63 | $46,110.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,525.69 / $45,024.98 / $60,181.00
| Facility | | $27,525.69 | $45,024.98 | $60,181.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,889.71 / $31,552.40 / $47,398.79
| Facility | | $21,889.71 | $31,552.40 | $47,398.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,696.76 / $25,696.76 / $44,719.43
| Facility | | $25,696.76 | $25,696.76 | $44,719.43 |