- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $52,480.75 / $56,234.13
| Facility | | $31,622.78 | $52,480.75 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $52,480.75 / $74,131.02
| Facility | | $35,481.34 | $52,480.75 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $42,657.95 / $63,095.73
| Facility | | $28,840.32 | $42,657.95 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $40,738.03 / $57,543.99
| Facility | | $20,892.96 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $50,118.72 / $75,857.76
| Facility | | $4,073.80 | $50,118.72 | $75,857.76 |