- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,744.87 / $33,426.10 / $58,608.60
| Facility | | $23,744.87 | $33,426.10 | $58,608.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,424.17 / $31,424.17 / $43,024.63
| Facility | | $31,424.17 | $31,424.17 | $43,024.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,569.97 / $28,560.41 / $40,222.51
| Facility | | $14,569.97 | $28,560.41 | $40,222.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,800.08 / $33,426.14 / $51,172.25
| Facility | | $21,800.08 | $33,426.14 | $51,172.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,169.71 / $33,075.73 / $45,293.22
| Facility | | $21,169.71 | $33,075.73 | $45,293.22 |