- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $42,657.95 / $70,794.58
| Facility | | $28,183.83 | $42,657.95 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $56,234.13
| Facility | | $24,547.09 | $33,884.42 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,183.83 / $36,307.81
| Facility | | $20,892.96 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,884.42 / $48,977.88
| Facility | | $20,892.96 | $33,884.42 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,902.95 / $42,657.95
| Facility | | $21,877.62 | $30,902.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $38,018.94 / $53,703.18
| Facility | | $13,182.57 | $38,018.94 | $53,703.18 |