- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $34,673.69 / $48,977.88
| Facility | | $22,908.68 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $24,547.09 / $41,686.94
| Facility | | $9,120.11 | $24,547.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,840.32 / $48,977.88
| Facility | | $20,417.38 | $28,840.32 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $31,622.78 / $46,773.51
| Facility | | $25,703.96 | $31,622.78 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $30,902.95 / $44,668.36
| Facility | | $16,218.10 | $30,902.95 | $44,668.36 |