- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $35,481.34 / $40,738.03
| Facility | | $22,908.68 | $35,481.34 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,018.94 / $52,480.75
| Facility | | $25,703.96 | $38,018.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $45,708.82
| Facility | | $20,892.96 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $40,738.03
| Facility | | $19,054.61 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $36,307.81 / $54,954.09
| Facility | | $4,073.80 | $36,307.81 | $54,954.09 |