- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,904.51 / $58,884.37
| Facility | | $28,183.83 | $38,904.51 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $34,673.69 / $50,118.72
| Facility | | $19,952.62 | $34,673.69 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $60,255.96
| Facility | | $22,908.68 | $33,113.11 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $380.19 / $575.44
| Facility | | $181.97 | $380.19 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $37,153.52 / $54,954.09
| Facility | | $23,988.33 | $37,153.52 | $54,954.09 |