- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,706.90 / $49,001.60 / $79,648.20
| Facility | | $28,706.90 | $49,001.60 | $79,648.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,543.18 / $36,715.64 / $39,579.87
| Facility | | $19,543.18 | $36,715.64 | $39,579.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,524.32 / $38,934.22 / $61,422.49
| Facility | | $24,524.32 | $38,934.22 | $61,422.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,958.87 / $23,329.98 / $61,946.78
| Facility | | $7,958.87 | $23,329.98 | $61,946.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,528.25 / $44,306.48 / $58,982.05
| Facility | | $28,528.25 | $44,306.48 | $58,982.05 |