- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $44,668.36 / $75,857.76
| Facility | | $30,199.52 | $44,668.36 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $35,481.34 / $58,884.37
| Facility | | $25,703.96 | $35,481.34 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $35,481.34 / $45,708.82
| Facility | | $25,118.86 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $42,657.95 / $61,659.50
| Facility | | $28,840.32 | $42,657.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $42,657.95 / $60,255.96
| Facility | | $33,113.11 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $40,738.03 / $56,234.13
| Facility | | $13,803.84 | $40,738.03 | $56,234.13 |