- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $46,773.51 / $50,118.72
| Facility | | $28,183.83 | $46,773.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $46,773.51 / $64,565.42
| Facility | | $31,622.78 | $46,773.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $38,018.94 / $57,543.99
| Facility | | $26,302.68 | $38,018.94 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $34,673.69 / $51,286.14
| Facility | | $20,892.96 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $40,738.03 / $67,608.30
| Facility | | $4,073.80 | $40,738.03 | $67,608.30 |