- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $54,954.09
| Facility | | $17,782.79 | $33,884.42 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $60,255.96 / $81,283.05
| Facility | | $42,657.95 | $60,255.96 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $48,977.88 / $69,183.10
| Facility | | $40,738.03 | $48,977.88 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $48,977.88 / $66,069.34
| Facility | | $30,199.52 | $48,977.88 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $50,118.72 / $69,183.10
| Facility | | $30,902.95 | $50,118.72 | $69,183.10 |