- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,018.94 / $48,977.88
| Facility | | $26,915.35 | $38,018.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,113.11 / $45,708.82
| Facility | | $20,417.38 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $39,810.72 / $54,954.09
| Facility | | $20,892.96 | $39,810.72 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $34,673.69 / $44,668.36
| Facility | | $20,417.38 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $39,810.72 / $54,954.09
| Facility | | $18,620.87 | $39,810.72 | $54,954.09 |