- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $52,480.75
| Facility | | $24,547.09 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $25,118.86 / $42,657.95
| Facility | | $9,332.54 | $25,118.86 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $29,512.09 / $51,286.14
| Facility | | $21,877.62 | $29,512.09 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $33,113.11 / $48,977.88
| Facility | | $26,915.35 | $33,113.11 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $32,359.37 / $47,863.01
| Facility | | $16,982.44 | $32,359.37 | $47,863.01 |