- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,349.70 / $31,420.60 / $53,050.60
| Facility | | $14,349.70 | $31,420.60 | $53,050.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,416.61 / $52,477.18 / $68,046.75
| Facility | | $35,416.61 | $52,477.18 | $68,046.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,322.98 / $44,790.65 / $65,750.16
| Facility | | $31,322.98 | $44,790.65 | $65,750.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,049.26 / $44,289.70 / $92,876.90
| Facility | | $23,049.26 | $44,289.70 | $92,876.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,322.98 / $48,766.28 / $66,112.64
| Facility | | $31,322.98 | $48,766.28 | $66,112.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,074.70 / $40,185.16 / $62,002.70
| Facility | | $9,074.70 | $40,185.16 | $62,002.70 |