- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,554.30 / $47,613.90 / $79,224.80
| Facility | | $28,554.30 | $47,613.90 | $79,224.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,823.11 / $40,370.66 / $49,164.11
| Facility | | $30,823.11 | $40,370.66 | $49,164.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,485.14 / $38,727.22 / $61,095.93
| Facility | | $24,485.14 | $38,727.22 | $61,095.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,463.39 / $40,747.76 / $75,459.61
| Facility | | $22,463.39 | $40,747.76 | $75,459.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,376.57 / $44,070.92 / $58,668.46
| Facility | | $28,376.57 | $44,070.92 | $58,668.46 |