- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $39,810.72 / $74,131.02
| Facility | | $29,512.09 | $39,810.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $28,183.83
| Facility | | $28,183.83 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $51,286.14
| Facility | | $25,118.86 | $39,810.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $47,863.01 / $81,283.05
| Facility | | $27,542.29 | $47,863.01 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $39,810.72 / $53,703.18
| Facility | | $25,703.96 | $39,810.72 | $53,703.18 |