- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,628.30 / $39,617.80 / $56,094.50
| Facility | | $21,628.30 | $39,617.80 | $56,094.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,855.43 / $42,693.32 / $69,948.86
| Facility | | $25,855.43 | $42,693.32 | $69,948.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,486.86 / $35,638.26 / $63,406.13
| Facility | | $22,486.86 | $35,638.26 | $63,406.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $33,624.67 / $74,977.87
| Facility | | $7,117.00 | $33,624.67 | $74,977.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $32,892.14 / $66,629.25
| Facility | | $3,308.00 | $32,892.14 | $66,629.25 |