- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $39,810.72 / $61,659.50
| Facility | | $30,902.95 | $39,810.72 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $52,480.75
| Facility | | $20,892.96 | $28,840.32 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $38,018.94 / $58,884.37
| Facility | | $6,918.31 | $38,018.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $53,703.18
| Facility | | $22,908.68 | $31,622.78 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $28,183.83 / $47,863.01
| Facility | | $3,467.37 | $28,183.83 | $47,863.01 |