- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $42,657.95 / $56,234.13
| Facility | | $26,302.68 | $42,657.95 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $50,118.72 / $61,659.50
| Facility | | $34,673.69 | $50,118.72 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $40,738.03 / $53,703.18
| Facility | | $26,915.35 | $40,738.03 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $37,153.52 / $58,884.37
| Facility | | $23,442.29 | $37,153.52 | $58,884.37 |