- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $58,884.37
| Facility | | $27,542.29 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $35,481.34 / $60,255.96
| Facility | | $13,182.57 | $35,481.34 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $57,543.99
| Facility | | $24,547.09 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $37,153.52 / $54,954.09
| Facility | | $30,199.52 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $36,307.81 / $53,703.18
| Facility | | $19,054.61 | $36,307.81 | $53,703.18 |