- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,804.60 / $59,410.10 / $96,566.40
| Facility | | $34,804.60 | $59,410.10 | $96,566.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,408.58 / $42,408.58 / $42,408.58
| Facility | | $42,408.58 | $42,408.58 | $42,408.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,844.74 / $47,204.28 / $74,469.31
| Facility | | $29,844.74 | $47,204.28 | $74,469.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,742.34 / $44,214.35 / $81,154.69
| Facility | | $24,742.34 | $44,214.35 | $81,154.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,587.97 / $53,717.67 / $71,510.49
| Facility | | $34,587.97 | $53,717.67 | $71,510.49 |