- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,571.40 / $38,802.19 / $50,999.40
| Facility | | $26,571.40 | $38,802.19 | $50,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,879.16 / $32,351.43 / $54,718.09
| Facility | | $11,879.16 | $32,351.43 | $54,718.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,967.64 / $39,154.22 / $69,840.07
| Facility | | $27,967.64 | $39,154.22 | $69,840.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,423.22 / $43,496.17 / $63,507.96
| Facility | | $33,423.22 | $43,496.17 | $63,507.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,423.22 / $40,435.49 / $63,507.96
| Facility | | $33,423.22 | $40,435.49 | $63,507.96 |