- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $48,977.88 / $74,131.02
| Facility | | $38,018.94 | $48,977.88 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $32,359.37 / $47,863.01
| Facility | | $25,703.96 | $32,359.37 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $46,773.51 / $70,794.58
| Facility | | $6,918.31 | $46,773.51 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,904.51 / $70,794.58
| Facility | | $27,542.29 | $38,904.51 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $29,512.09 / $58,884.37
| Facility | | $3,467.37 | $29,512.09 | $58,884.37 |