- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,758.20 / $42,261.30 / $68,692.39
| Facility | | $24,758.20 | $42,261.30 | $68,692.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,873.28 / $20,873.28 / $30,460.73
| Facility | | $20,873.28 | $20,873.28 | $30,460.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,230.02 / $33,578.71 / $52,973.66
| Facility | | $21,230.02 | $33,578.71 | $52,973.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,384.31 / $27,080.64 / $53,425.84
| Facility | | $14,384.31 | $27,080.64 | $53,425.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,604.11 / $38,212.01 / $50,868.91
| Facility | | $24,604.11 | $38,212.01 | $50,868.91 |