- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $39,810.72 / $45,708.82
| Facility | | $29,512.09 | $39,810.72 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $38,904.51
| Facility | | $38,904.51 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,018.94 / $46,773.51
| Facility | | $20,417.38 | $38,018.94 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $72,443.60
| Facility | | $19,054.61 | $29,512.09 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $42,657.95
| Facility | | $17,782.79 | $28,840.32 | $42,657.95 |