- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $50,118.72 / $57,543.99
| Facility | | $38,904.51 | $50,118.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $42,657.95 / $51,286.14
| Facility | | $36,307.81 | $42,657.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $57,543.99 / $72,443.60
| Facility | | $35,481.34 | $57,543.99 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $56,234.13 / $74,131.02
| Facility | | $1,862.09 | $56,234.13 | $74,131.02 |