- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,724.20 / $31,681.10 / $51,428.40
| Facility | | $21,724.20 | $31,681.10 | $51,428.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,957.62 / $56,805.74 / $72,827.87
| Facility | | $39,957.62 | $56,805.74 | $72,827.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,509.32 / $47,514.45 / $59,086.20
| Facility | | $25,509.32 | $47,514.45 | $59,086.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,665.60 / $34,070.80 / $54,480.70
| Facility | | $22,665.60 | $34,070.80 | $54,480.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,507.14 / $45,327.54 / $68,865.71
| Facility | | $26,507.14 | $45,327.54 | $68,865.71 |