- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $46,773.51 / $77,624.71
| Facility | | $30,902.95 | $46,773.51 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $61,659.50
| Facility | | $26,915.35 | $37,153.52 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $33,884.42 / $43,651.58
| Facility | | $25,703.96 | $33,884.42 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $40,738.03 / $58,884.37
| Facility | | $25,703.96 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,018.94 / $51,286.14
| Facility | | $28,183.83 | $38,018.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $42,657.95 / $58,884.37
| Facility | | $14,454.40 | $42,657.95 | $58,884.37 |