- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,227.48 / $35,709.30 / $59,285.90
| Facility | | $25,227.48 | $35,709.30 | $59,285.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,696.81 / $32,503.11 / $55,060.94
| Facility | | $21,696.81 | $32,503.11 | $55,060.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,780.32 / $38,088.12 / $54,766.07
| Facility | | $30,780.32 | $38,088.12 | $54,766.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,402.68 / $36,587.99 / $97,019.56
| Facility | | $18,402.68 | $36,587.99 | $97,019.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,402.68 / $36,508.39 / $51,310.74
| Facility | | $18,402.68 | $36,508.39 | $51,310.74 |