- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $34,673.69 / $45,708.82
| Facility | | $13,489.63 | $34,673.69 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $51,286.14
| Facility | | $33,884.42 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $40,738.03 / $45,708.82
| Facility | | $29,512.09 | $40,738.03 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $36,307.81 / $50,118.72
| Facility | | $29,512.09 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $39,810.72 / $52,480.75
| Facility | | $2,041.74 | $39,810.72 | $52,480.75 |