- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $50,118.72 / $83,176.38
| Facility | | $33,113.11 | $50,118.72 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $39,810.72 / $66,069.34
| Facility | | $28,840.32 | $39,810.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $35,481.34 / $45,708.82
| Facility | | $23,442.29 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $54,954.09
| Facility | | $24,547.09 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $37,153.52 / $50,118.72
| Facility | | $27,542.29 | $37,153.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $45,708.82 / $63,095.73
| Facility | | $15,488.17 | $45,708.82 | $63,095.73 |