- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,018.94 / $54,954.09
| Facility | | $25,703.96 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $28,183.83 / $47,863.01
| Facility | | $10,471.29 | $28,183.83 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $53,703.18
| Facility | | $22,908.68 | $31,622.78 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $34,673.69 / $51,286.14
| Facility | | $28,183.83 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $50,118.72
| Facility | | $17,782.79 | $33,884.42 | $50,118.72 |