- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $45,708.82 / $89,125.09
| Facility | | $26,302.68 | $45,708.82 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $48,977.88
| Facility | | $42,657.95 | $42,657.95 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $51,286.14 / $79,432.82
| Facility | | $19,952.62 | $51,286.14 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $69,183.10 / $89,125.09
| Facility | | $38,018.94 | $69,183.10 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $67,608.30 / $104,712.85
| Facility | | $34,673.69 | $67,608.30 | $104,712.85 |