- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $45,708.82 / $61,659.50
| Facility | | $24,547.09 | $45,708.82 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $38,904.51 / $63,095.73
| Facility | | $26,302.68 | $38,904.51 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $48,977.88 / $66,069.34
| Facility | | $23,442.29 | $48,977.88 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $37,153.52 / $72,443.60
| Facility | | $7,079.46 | $37,153.52 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $35,481.34 / $70,794.58
| Facility | | $6,456.54 | $35,481.34 | $70,794.58 |