- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $52,480.75 / $89,125.09
| Facility | | $35,481.34 | $52,480.75 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $41,686.94 / $69,183.10
| Facility | | $30,902.95 | $41,686.94 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $38,018.94 / $48,977.88
| Facility | | $28,840.32 | $38,018.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $45,708.82 / $67,608.30
| Facility | | $28,840.32 | $45,708.82 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $43,651.58 / $58,884.37
| Facility | | $32,359.37 | $43,651.58 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $47,863.01 / $67,608.30
| Facility | | $16,595.87 | $47,863.01 | $67,608.30 |