- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,904.51 / $50,118.72
| Facility | | $28,183.83 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $39,810.72 / $45,708.82
| Facility | | $8,128.31 | $39,810.72 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $34,673.69 / $47,863.01
| Facility | | $23,442.29 | $34,673.69 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $40,738.03 / $57,543.99
| Facility | | $21,379.62 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $37,153.52 / $46,773.51
| Facility | | $24,547.09 | $37,153.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $40,738.03 / $57,543.99
| Facility | | $19,498.45 | $40,738.03 | $57,543.99 |