- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,359.90 / $46,552.90 / $74,956.10
| Facility | | $20,359.90 | $46,552.90 | $74,956.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $20,711.40 / $66,202.39
| Facility | | $1,474.01 | $20,711.40 | $66,202.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,698.31 / $48,674.05 / $68,952.64
| Facility | | $33,698.31 | $48,674.05 | $68,952.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,656.15 / $40,278.00 / $84,315.46
| Facility | | $27,656.15 | $40,278.00 | $84,315.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,656.15 / $40,278.00 / $73,601.36
| Facility | | $27,656.15 | $40,278.00 | $73,601.36 |