- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $60,255.96 / $69,183.10
| Facility | | $44,668.36 | $60,255.96 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $57,543.99 / $75,857.76
| Facility | | $32,359.37 | $57,543.99 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $44,668.36 / $109,647.82
| Facility | | $28,840.32 | $44,668.36 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $43,651.58 / $64,565.42
| Facility | | $26,915.35 | $43,651.58 | $64,565.42 |