- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,018.94 / $53,703.18
| Facility | | $25,118.86 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $28,183.83 / $46,773.51
| Facility | | $10,471.29 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $31,622.78 / $53,703.18
| Facility | | $22,387.21 | $31,622.78 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $34,673.69 / $51,286.14
| Facility | | $28,183.83 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $48,977.88
| Facility | | $17,782.79 | $33,884.42 | $48,977.88 |