- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $42,657.95 / $72,443.60
| Facility | | $28,840.32 | $42,657.95 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $56,234.13
| Facility | | $24,547.09 | $33,884.42 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $29,512.09 / $38,018.94
| Facility | | $22,387.21 | $29,512.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $54,954.09
| Facility | | $23,988.33 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $35,481.34 / $47,863.01
| Facility | | $26,302.68 | $35,481.34 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $38,904.51 / $54,954.09
| Facility | | $13,182.57 | $38,904.51 | $54,954.09 |