- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.60 / $31,611.90 / $55,308.90
| Facility | | $23,864.60 | $31,611.90 | $55,308.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,294.44 / $25,819.45 / $41,703.98
| Facility | | $22,294.44 | $25,819.45 | $41,703.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.53 / $26,822.34 / $54,833.95
| Facility | | $5,707.53 | $26,822.34 | $54,833.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,996.70 / $30,329.04 / $49,381.20
| Facility | | $17,996.70 | $30,329.04 | $49,381.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,577.63 / $55,959.37
| Facility | | $3,496.00 | $32,577.63 | $55,959.37 |