- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $47,863.01 / $61,659.50
| Facility | | $33,884.42 | $47,863.01 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $41,686.94 / $57,543.99
| Facility | | $26,915.35 | $41,686.94 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $50,118.72 / $69,183.10
| Facility | | $26,302.68 | $50,118.72 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $44,668.36 / $57,543.99
| Facility | | $26,915.35 | $44,668.36 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $50,118.72 / $69,183.10
| Facility | | $23,442.29 | $50,118.72 | $69,183.10 |