- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $33,113.11 / $61,659.50
| Facility | | $28,183.83 | $33,113.11 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $38,904.51
| Facility | | $33,113.11 | $33,113.11 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $35,481.34 / $53,703.18
| Facility | | $19,054.61 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $47,863.01 / $60,255.96
| Facility | | $26,302.68 | $47,863.01 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $46,773.51 / $72,443.60
| Facility | | $25,118.86 | $46,773.51 | $72,443.60 |