- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $38,018.94 / $61,659.50
| Facility | | $22,387.21 | $38,018.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $26,915.35 / $35,481.34
| Facility | | $13,182.57 | $26,915.35 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $31,622.78 / $46,773.51
| Facility | | $18,620.87 | $31,622.78 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $28,840.32 / $53,703.18
| Facility | | $15,135.61 | $28,840.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $34,673.69 / $50,118.72
| Facility | | $23,442.29 | $34,673.69 | $50,118.72 |