- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $56,234.13
| Facility | | $17,782.79 | $33,884.42 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $61,659.50 / $83,176.38
| Facility | | $43,651.58 | $61,659.50 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $50,118.72 / $70,794.58
| Facility | | $40,738.03 | $50,118.72 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $50,118.72 / $67,608.30
| Facility | | $30,199.52 | $50,118.72 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $52,480.75 / $70,794.58
| Facility | | $30,902.95 | $52,480.75 | $70,794.58 |