- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $44,668.36 / $57,543.99
| Facility | | $31,622.78 | $44,668.36 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $39,810.72 / $54,954.09
| Facility | | $26,915.35 | $39,810.72 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $46,773.51 / $66,069.34
| Facility | | $24,547.09 | $46,773.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $41,686.94 / $52,480.75
| Facility | | $26,915.35 | $41,686.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $46,773.51 / $66,069.34
| Facility | | $21,877.62 | $46,773.51 | $66,069.34 |