- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $50,118.72 / $75,857.76
| Facility | | $36,307.81 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $44,668.36 / $64,565.42
| Facility | | $26,915.35 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $43,651.58 / $77,624.71
| Facility | | $30,902.95 | $43,651.58 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $489.78 / $724.44
| Facility | | $208.93 | $489.78 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $47,863.01 / $70,794.58
| Facility | | $30,902.95 | $47,863.01 | $70,794.58 |