- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $45,708.82 / $87,096.36
| Facility | | $29,512.09 | $45,708.82 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $16,595.87 / $29,512.09
| Facility | | $16,595.87 | $16,595.87 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,904.51 / $63,095.73
| Facility | | $25,118.86 | $38,904.51 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $25,703.96 / $61,659.50
| Facility | | $7,413.10 | $25,703.96 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $43,651.58 / $60,255.96
| Facility | | $22,387.21 | $43,651.58 | $60,255.96 |