- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $44,668.36 / $60,255.96
| Facility | | $28,183.83 | $44,668.36 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $63,095.73 / $79,432.82
| Facility | | $43,651.58 | $63,095.73 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $42,657.95 / $56,234.13
| Facility | | $28,840.32 | $42,657.95 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,018.94 / $61,659.50
| Facility | | $25,118.86 | $38,018.94 | $61,659.50 |