- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $41,686.94 / $58,884.37
| Facility | | $26,915.35 | $41,686.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $60,255.96
| Facility | | $23,442.29 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $46,773.51 / $69,183.10
| Facility | | $28,840.32 | $46,773.51 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $63,095.73
| Facility | | $25,118.86 | $39,810.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,840.32 / $47,863.01
| Facility | | $18,197.01 | $28,840.32 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $45,708.82 / $66,069.34
| Facility | | $10,964.78 | $45,708.82 | $66,069.34 |