- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,387.10 / $31,502.50 / $53,188.90
| Facility | | $14,387.10 | $31,502.50 | $53,188.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,699.55 / $47,922.19 / $62,140.33
| Facility | | $32,699.55 | $47,922.19 | $62,140.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,404.62 / $44,907.38 / $65,921.52
| Facility | | $31,404.62 | $44,907.38 | $65,921.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,109.33 / $44,405.13 / $93,118.96
| Facility | | $23,109.33 | $44,405.13 | $93,118.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,404.62 / $48,893.37 / $66,284.95
| Facility | | $31,404.62 | $48,893.37 | $66,284.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,405.97 / $40,289.89 / $62,164.29
| Facility | | $6,405.97 | $40,289.89 | $62,164.29 |