- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,836.40 / $38,980.80 / $63,360.20
| Facility | | $22,836.40 | $38,980.80 | $63,360.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,584.36 / $35,445.93 / $45,441.16
| Facility | | $25,584.36 | $35,445.93 | $45,441.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,509.09 / $30,972.17 / $48,861.59
| Facility | | $19,509.09 | $30,972.17 | $48,861.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,466.08 / $40,048.73 / $83,417.09
| Facility | | $19,466.08 | $40,048.73 | $83,417.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,694.22 / $35,245.80 / $46,920.22
| Facility | | $22,694.22 | $35,245.80 | $46,920.22 |