- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $54,954.09 / $58,884.37
| Facility | | $32,359.37 | $54,954.09 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $53,703.18 / $75,857.76
| Facility | | $36,307.81 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $43,651.58 / $66,069.34
| Facility | | $30,199.52 | $43,651.58 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $42,657.95 / $60,255.96
| Facility | | $20,892.96 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $46,773.51 / $77,624.71
| Facility | | $4,073.80 | $46,773.51 | $77,624.71 |