- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $42,657.95 / $64,565.42
| Facility | | $31,622.78 | $42,657.95 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $36,307.81 / $63,095.73
| Facility | | $15,488.17 | $36,307.81 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $42,657.95 / $67,608.30
| Facility | | $32,359.37 | $42,657.95 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $40,738.03 / $64,565.42
| Facility | | $19,498.45 | $40,738.03 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $36,307.81 / $53,703.18
| Facility | | $22,908.68 | $36,307.81 | $53,703.18 |