- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,705.10 / $37,567.40 / $62,370.80
| Facility | | $23,705.10 | $37,567.40 | $62,370.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,119.68 / $33,136.58 / $56,134.06
| Facility | | $22,119.68 | $33,136.58 | $56,134.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,381.92 / $40,069.97 / $57,615.73
| Facility | | $32,381.92 | $40,069.97 | $57,615.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,360.23 / $38,491.78 / $98,910.44
| Facility | | $19,360.23 | $38,491.78 | $98,910.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,360.23 / $38,408.04 / $53,980.61
| Facility | | $19,360.23 | $38,408.04 | $53,980.61 |