- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $54,954.09
| Facility | | $25,703.96 | $38,904.51 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $21,877.62 / $37,153.52
| Facility | | $8,128.31 | $21,877.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $53,703.18
| Facility | | $22,908.68 | $31,622.78 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $35,481.34 / $52,480.75
| Facility | | $28,840.32 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $34,673.69 / $50,118.72
| Facility | | $18,197.01 | $34,673.69 | $50,118.72 |