- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $30,902.95 / $51,286.14
| Facility | | $17,782.79 | $30,902.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $56,234.13 / $74,131.02
| Facility | | $39,810.72 | $56,234.13 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $45,708.82 / $63,095.73
| Facility | | $37,153.52 | $45,708.82 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $45,708.82 / $61,659.50
| Facility | | $27,542.29 | $45,708.82 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $46,773.51 / $64,565.42
| Facility | | $28,183.83 | $46,773.51 | $64,565.42 |