- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $45,708.82 / $85,113.80
| Facility | | $29,512.09 | $45,708.82 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $26,915.35 / $40,738.03
| Facility | | $11,748.98 | $26,915.35 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,904.51 / $61,659.50
| Facility | | $25,118.86 | $38,904.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $26,302.68 / $61,659.50
| Facility | | $10,471.29 | $26,302.68 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $39,810.72 / $57,543.99
| Facility | | $6,606.93 | $39,810.72 | $57,543.99 |