- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $36,307.81 / $39,810.72
| Facility | | $21,877.62 | $36,307.81 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $37,153.52 / $51,286.14
| Facility | | $24,547.09 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $43,651.58
| Facility | | $16,218.10 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $28,183.83 / $40,738.03
| Facility | | $15,488.17 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $35,481.34 / $52,480.75
| Facility | | $4,073.80 | $35,481.34 | $52,480.75 |