- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $45,708.82 / $60,255.96
| Facility | | $28,183.83 | $45,708.82 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $40,738.03 / $69,183.10
| Facility | | $15,135.61 | $40,738.03 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $35,481.34 / $60,255.96
| Facility | | $25,118.86 | $35,481.34 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $39,810.72 / $56,234.13
| Facility | | $30,902.95 | $39,810.72 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $37,153.52 / $57,543.99
| Facility | | $19,498.45 | $37,153.52 | $57,543.99 |