- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,344.30 / $37,258.80 / $61,994.90
| Facility | | $22,344.30 | $37,258.80 | $61,994.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,738.48 / $32,745.96 / $41,024.83
| Facility | | $25,738.48 | $32,745.96 | $41,024.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,160.09 / $30,304.80 / $47,808.75
| Facility | | $19,160.09 | $30,304.80 | $47,808.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,986.25 / $37,890.87 / $72,134.48
| Facility | | $18,986.25 | $37,890.87 | $72,134.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,336.98 / $34,486.35 / $45,909.21
| Facility | | $22,336.98 | $34,486.35 | $45,909.21 |