- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $44,668.36 / $57,543.99
| Facility | | $31,622.78 | $44,668.36 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,904.51 / $53,703.18
| Facility | | $26,915.35 | $38,904.51 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $46,773.51 / $64,565.42
| Facility | | $24,547.09 | $46,773.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $42,657.95 / $53,703.18
| Facility | | $26,915.35 | $42,657.95 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $46,773.51 / $64,565.42
| Facility | | $21,877.62 | $46,773.51 | $64,565.42 |