- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $45,708.82 / $64,565.42
| Facility | | $28,183.83 | $45,708.82 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $53,703.18 / $72,443.60
| Facility | | $36,307.81 | $53,703.18 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $43,651.58 / $70,794.58
| Facility | | $28,183.83 | $43,651.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $38,904.51 / $72,443.60
| Facility | | $4,073.80 | $38,904.51 | $72,443.60 |