- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $44,668.36
| Facility | | $24,547.09 | $41,686.94 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $56,234.13
| Facility | | $27,542.29 | $40,738.03 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $34,673.69 / $50,118.72
| Facility | | $22,908.68 | $34,673.69 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $31,622.78 / $44,668.36
| Facility | | $19,054.61 | $31,622.78 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $38,904.51 / $58,884.37
| Facility | | $4,073.80 | $38,904.51 | $58,884.37 |