- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $45,708.82 / $52,480.75
| Facility | | $33,884.42 | $45,708.82 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,199.52 / $39,810.72
| Facility | | $24,547.09 | $30,199.52 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $43,651.58 / $57,543.99
| Facility | | $24,547.09 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $83,176.38
| Facility | | $21,877.62 | $33,884.42 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,113.11 / $48,977.88
| Facility | | $20,417.38 | $33,113.11 | $48,977.88 |