- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,727.59 / $30,227.80 / $49,069.10
| Facility | | $20,727.59 | $30,227.80 | $49,069.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,413.30 / $53,188.58 / $68,190.49
| Facility | | $37,413.30 | $53,188.58 | $68,190.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,339.07 / $47,057.32 / $59,229.12
| Facility | | $24,339.07 | $47,057.32 | $59,229.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,625.80 / $32,507.80 / $51,981.40
| Facility | | $21,625.80 | $32,507.80 | $51,981.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,291.13 / $43,248.14 / $65,706.49
| Facility | | $25,291.13 | $43,248.14 | $65,706.49 |