- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $51,286.14 / $85,113.80
| Facility | | $33,884.42 | $51,286.14 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $40,738.03 / $67,608.30
| Facility | | $29,512.09 | $40,738.03 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $39,810.72
| Facility | | $24,547.09 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $41,686.94 / $61,659.50
| Facility | | $26,302.68 | $41,686.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,904.51 / $52,480.75
| Facility | | $28,183.83 | $38,904.51 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $45,708.82 / $64,565.42
| Facility | | $15,848.93 | $45,708.82 | $64,565.42 |