- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $39,810.72 / $61,659.50
| Facility | | $28,183.83 | $39,810.72 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,884.42 / $51,286.14
| Facility | | $23,442.29 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $33,884.42 / $58,884.37
| Facility | | $9,549.93 | $33,884.42 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $32,359.37 / $56,234.13
| Facility | | $7,585.78 | $32,359.37 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,302.68 / $43,651.58
| Facility | | $16,595.87 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $42,657.95 / $61,659.50
| Facility | | $10,471.29 | $42,657.95 | $61,659.50 |