- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $37,153.52 / $57,543.99
| Facility | | $26,302.68 | $37,153.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $31,622.78 / $48,977.88
| Facility | | $21,877.62 | $31,622.78 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $39,810.72 / $58,884.37
| Facility | | $24,547.09 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $53,703.18
| Facility | | $21,379.62 | $33,884.42 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $41,686.94
| Facility | | $15,488.17 | $24,547.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $39,810.72 / $56,234.13
| Facility | | $8,709.64 | $39,810.72 | $56,234.13 |