- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $40,738.03 / $54,954.09
| Facility | | $21,379.62 | $40,738.03 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $58,884.37 / $97,723.72
| Facility | | $36,307.81 | $58,884.37 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $43,651.58 / $58,884.37
| Facility | | $20,892.96 | $43,651.58 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $33,113.11 / $64,565.42
| Facility | | $7,079.46 | $33,113.11 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $31,622.78 / $61,659.50
| Facility | | $6,456.54 | $31,622.78 | $61,659.50 |