- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $57,543.99 / $61,659.50
| Facility | | $33,884.42 | $57,543.99 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $56,234.13 / $79,432.82
| Facility | | $38,018.94 | $56,234.13 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $45,708.82 / $67,608.30
| Facility | | $30,199.52 | $45,708.82 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,904.51 / $61,659.50
| Facility | | $20,892.96 | $38,904.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $23,988.33 / $81,283.05
| Facility | | $4,466.84 | $23,988.33 | $81,283.05 |