- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $37,153.52 / $52,480.75
| Facility | | $24,547.09 | $37,153.52 | $52,480.75 |
- 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
- $21,877.62 / $30,199.52 / $51,286.14
| Facility | | $21,877.62 | $30,199.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $33,884.42 / $48,977.88
| Facility | | $27,542.29 | $33,884.42 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $33,113.11 / $47,863.01
| Facility | | $17,378.01 | $33,113.11 | $47,863.01 |