- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,113.11 / $56,234.13
| Facility | | $26,302.68 | $33,113.11 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $40,738.03
| Facility | | $40,738.03 | $40,738.03 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $32,359.37 / $53,703.18
| Facility | | $19,054.61 | $32,359.37 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $56,234.13
| Facility | | $25,118.86 | $43,651.58 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $42,657.95 / $66,069.34
| Facility | | $23,442.29 | $42,657.95 | $66,069.34 |