- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $25,118.86 / $40,738.03
| Facility | | $17,782.79 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $44,668.36 / $60,255.96
| Facility | | $31,622.78 | $44,668.36 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $37,153.52 / $51,286.14
| Facility | | $30,199.52 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $37,153.52 / $48,977.88
| Facility | | $22,387.21 | $37,153.52 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,018.94 / $51,286.14
| Facility | | $22,908.68 | $38,018.94 | $51,286.14 |