- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,949.65 / $33,024.40 / $33,024.40
| Facility | | $28,949.65 | $33,024.40 | $33,024.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,487.54 / $31,719.89 / $49,705.93
| Facility | | $17,487.54 | $31,719.89 | $49,705.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,297.68 / $44,407.00 / $50,382.38
| Facility | | $26,297.68 | $44,407.00 | $50,382.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,405.55 / $35,293.87 / $51,850.77
| Facility | | $22,405.55 | $35,293.87 | $51,850.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,743.87 / $35,139.28 / $50,022.24
| Facility | | $28,743.87 | $35,139.28 | $50,022.24 |