- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,344.40 / $26,752.30 / $43,427.30
| Facility | | $18,344.40 | $26,752.30 | $43,427.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,174.61 / $52,849.26 / $67,755.46
| Facility | | $37,174.61 | $52,849.26 | $67,755.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,540.64 / $41,646.80 / $49,893.71
| Facility | | $21,540.64 | $41,646.80 | $49,893.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,139.30 / $28,770.10 / $46,004.70
| Facility | | $19,139.30 | $28,770.10 | $46,004.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,189.92 / $38,275.58 / $58,151.75
| Facility | | $25,189.92 | $38,275.58 | $58,151.75 |