- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $38,904.51 / $56,234.13
| Facility | | $29,512.09 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $47,863.01
| Facility | | $27,542.29 | $40,738.03 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $51,286.14
| Facility | | $23,988.33 | $38,018.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $34,673.69 / $45,708.82
| Facility | | $10,964.78 | $34,673.69 | $45,708.82 |