- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,904.51 / $50,118.72
| Facility | | $27,542.29 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,884.42 / $46,773.51
| Facility | | $23,442.29 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $40,738.03 / $57,543.99
| Facility | | $21,379.62 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $36,307.81 / $46,773.51
| Facility | | $23,442.29 | $36,307.81 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $40,738.03 / $57,543.99
| Facility | | $19,054.61 | $40,738.03 | $57,543.99 |