- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $46,773.51 / $60,255.96
| Facility | | $33,113.11 | $46,773.51 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $47,863.01 / $56,234.13
| Facility | | $28,183.83 | $47,863.01 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $48,977.88 / $69,183.10
| Facility | | $25,703.96 | $48,977.88 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $57,543.99
| Facility | | $46,773.51 | $46,773.51 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $48,977.88 / $69,183.10
| Facility | | $22,908.68 | $48,977.88 | $69,183.10 |