- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $45,708.82 / $58,884.37
| Facility | | $30,902.95 | $45,708.82 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $19,054.61 / $41,686.94
| Facility | | $10,471.29 | $19,054.61 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,877.62 / $40,738.03
| Facility | | $15,848.93 | $21,877.62 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,877.62 / $40,738.03
| Facility | | $15,848.93 | $21,877.62 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $28,183.83 / $44,668.36
| Facility | | $5,370.32 | $28,183.83 | $44,668.36 |