- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $48,977.88 / $66,069.34
| Facility | | $34,673.69 | $48,977.88 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $47,863.01 / $54,954.09
| Facility | | $33,113.11 | $47,863.01 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $44,668.36 / $60,255.96
| Facility | | $30,902.95 | $44,668.36 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $22,387.21 / $22,387.21
| Facility | | $22,387.21 | $22,387.21 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $43,651.58 / $53,703.18
| Facility | | $8,709.64 | $43,651.58 | $53,703.18 |