- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $58,884.37 / $70,794.58
| Facility | | $25,703.96 | $58,884.37 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $64,565.42 / $91,201.08
| Facility | | $43,651.58 | $64,565.42 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $52,480.75 / $77,624.71
| Facility | | $32,359.37 | $52,480.75 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $48,977.88 / $70,794.58
| Facility | | $33,113.11 | $48,977.88 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,168.69 / $42,657.95 / $93,325.43
| Facility | | $4,168.69 | $42,657.95 | $93,325.43 |