- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $41,686.94 / $52,480.75
| Facility | | $29,512.09 | $41,686.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $36,307.81 / $50,118.72
| Facility | | $21,379.62 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $43,651.58 / $60,255.96
| Facility | | $22,908.68 | $43,651.58 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,018.94 / $47,863.01
| Facility | | $21,379.62 | $38,018.94 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $43,651.58 / $60,255.96
| Facility | | $20,417.38 | $43,651.58 | $60,255.96 |