- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,193.30 / $32,408.90 / $42,596.40
| Facility | | $22,193.30 | $32,408.90 | $42,596.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,911.04 / $29,714.88 / $50,258.71
| Facility | | $10,911.04 | $29,714.88 | $50,258.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,359.50 / $32,702.90 / $59,382.91
| Facility | | $23,359.50 | $32,702.90 | $59,382.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,916.19 / $36,329.44 / $53,043.96
| Facility | | $27,916.19 | $36,329.44 | $53,043.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,916.19 / $33,773.07 / $53,043.96
| Facility | | $27,916.19 | $33,773.07 | $53,043.96 |