- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $44,668.36
| Facility | | $24,547.09 | $41,686.94 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $57,543.99
| Facility | | $27,542.29 | $41,686.94 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $33,113.11 / $50,118.72
| Facility | | $16,218.10 | $33,113.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $29,512.09 / $45,708.82
| Facility | | $15,488.17 | $29,512.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $38,904.51 / $60,255.96
| Facility | | $4,073.80 | $38,904.51 | $60,255.96 |