- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $44,668.36 / $102,329.30
| Facility | | $30,902.95 | $44,668.36 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $36,307.81
| Facility | | $36,307.81 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $35,481.34 / $63,095.73
| Facility | | $19,952.62 | $35,481.34 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $45,708.82 / $63,095.73
| Facility | | $23,442.29 | $45,708.82 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $69,183.10 / $104,712.85
| Facility | | $6,918.31 | $69,183.10 | $104,712.85 |