- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $45,708.82 / $102,329.30
| Facility | | $31,622.78 | $45,708.82 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $47,863.01
| Facility | | $47,863.01 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $39,810.72 / $69,183.10
| Facility | | $21,379.62 | $39,810.72 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $45,708.82 / $77,624.71
| Facility | | $32,359.37 | $45,708.82 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $60,255.96 / $107,151.93
| Facility | | $34,673.69 | $60,255.96 | $107,151.93 |