- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,428.30 / $32,961.80 / $50,890.10
| Facility | | $22,428.30 | $32,961.80 | $50,890.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,834.43 / $58,052.24 / $74,425.95
| Facility | | $40,834.43 | $58,052.24 | $74,425.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,242.29 / $47,017.08 / $58,467.71
| Facility | | $25,242.29 | $47,017.08 | $58,467.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,428.30 / $33,714.10 / $53,910.40
| Facility | | $22,428.30 | $33,714.10 | $53,910.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,229.68 / $44,853.07 / $68,144.86
| Facility | | $26,229.68 | $44,853.07 | $68,144.86 |