- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,747.20 / $43,949.50 / $71,436.39
| Facility | | $25,747.20 | $43,949.50 | $71,436.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,822.96 / $39,313.19 / $48,381.69
| Facility | | $28,822.96 | $39,313.19 | $48,381.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,210.94 / $34,920.07 / $55,089.79
| Facility | | $22,210.94 | $34,920.07 | $55,089.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,357.39 / $38,522.49 / $70,420.14
| Facility | | $20,357.39 | $38,522.49 | $70,420.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,738.79 / $39,738.44 / $52,900.96
| Facility | | $25,738.79 | $39,738.44 | $52,900.96 |