- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $36,307.81
| Facility | | $36,307.81 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $46,773.51 / $66,069.34
| Facility | | $33,113.11 | $46,773.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $44,668.36 / $60,255.96
| Facility | | $31,622.78 | $44,668.36 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $52,480.75 / $54,954.09
| Facility | | $34,673.69 | $52,480.75 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $44,668.36 / $61,659.50
| Facility | | $34,673.69 | $44,668.36 | $61,659.50 |