- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,306.19 / $36,306.19 / $43,030.10
| Facility | | $36,306.19 | $36,306.19 | $43,030.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,076.87 / $53,114.60 / $67,824.92
| Facility | | $31,076.87 | $53,114.60 | $67,824.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,566.74 / $42,626.40 / $69,773.27
| Facility | | $26,566.74 | $42,626.40 | $69,773.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $387.01 / $24,425.47 / $35,603.68
| Facility | | $387.01 | $24,425.47 | $35,603.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,231.65 / $42,113.07 / $49,493.42
| Facility | | $30,231.65 | $42,113.07 | $49,493.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,284.05 / $44,919.74 / $56,624.99
| Facility | | $27,284.05 | $44,919.74 | $56,624.99 |