- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $26,302.68 / $42,657.95
| Facility | | $17,782.79 | $26,302.68 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $47,863.01 / $63,095.73
| Facility | | $33,113.11 | $47,863.01 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $38,904.51 / $53,703.18
| Facility | | $31,622.78 | $38,904.51 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,904.51 / $51,286.14
| Facility | | $23,442.29 | $38,904.51 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $39,810.72 / $54,954.09
| Facility | | $23,988.33 | $39,810.72 | $54,954.09 |