- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $40,738.03 / $67,608.30
| Facility | | $26,915.35 | $40,738.03 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $53,703.18
| Facility | | $23,442.29 | $32,359.37 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,183.83 / $36,307.81
| Facility | | $21,379.62 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $50,118.72
| Facility | | $21,379.62 | $33,884.42 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $43,651.58
| Facility | | $23,442.29 | $32,359.37 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $36,307.81 / $51,286.14
| Facility | | $12,589.25 | $36,307.81 | $51,286.14 |