- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $60,255.96 / $93,325.43
| Facility | | $42,657.95 | $60,255.96 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $79,432.82
| Facility | | $35,481.34 | $51,286.14 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $64,565.42 / $95,499.26
| Facility | | $39,810.72 | $64,565.42 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $54,954.09 / $87,096.36
| Facility | | $34,673.69 | $54,954.09 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $67,608.30
| Facility | | $25,118.86 | $39,810.72 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $67,608.30 / $91,201.08
| Facility | | $10,471.29 | $67,608.30 | $91,201.08 |