- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $50,118.72 / $95,499.26
| Facility | | $32,359.37 | $50,118.72 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $42,657.95 / $69,183.10
| Facility | | $28,183.83 | $42,657.95 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $37,153.52 / $77,624.71
| Facility | | $15,135.61 | $37,153.52 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $44,668.36 / $63,095.73
| Facility | | $6,606.93 | $44,668.36 | $63,095.73 |