- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $48,977.88 / $69,183.10
| Facility | | $32,359.37 | $48,977.88 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $45,708.82 / $77,624.71
| Facility | | $16,982.44 | $45,708.82 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $40,738.03 / $69,183.10
| Facility | | $28,840.32 | $40,738.03 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $44,668.36 / $64,565.42
| Facility | | $36,307.81 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $43,651.58 / $63,095.73
| Facility | | $22,908.68 | $43,651.58 | $63,095.73 |