- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $45,708.82 / $48,977.88
| Facility | | $26,915.35 | $45,708.82 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $44,668.36 / $64,565.42
| Facility | | $30,199.52 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $54,954.09
| Facility | | $25,118.86 | $36,307.81 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $37,153.52 / $50,118.72
| Facility | | $24,547.09 | $37,153.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $29,512.09 / $64,565.42
| Facility | | $4,466.84 | $29,512.09 | $64,565.42 |