- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $29,512.09 / $47,863.01
| Facility | | $17,782.79 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $52,480.75 / $70,794.58
| Facility | | $37,153.52 | $52,480.75 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $42,657.95 / $60,255.96
| Facility | | $35,481.34 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $42,657.95 / $57,543.99
| Facility | | $26,302.68 | $42,657.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $43,651.58 / $60,255.96
| Facility | | $26,915.35 | $43,651.58 | $60,255.96 |