- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $30,199.52 / $46,773.51
| Facility | | $15,848.93 | $30,199.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $79,432.82
| Facility | | $35,481.34 | $51,286.14 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,908.68 / $30,902.95
| Facility | | $14,791.08 | $22,908.68 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $67,608.30 / $67,608.30
| Facility | | $67,608.30 | $67,608.30 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $25,703.96 / $38,018.94
| Facility | | $3,801.89 | $25,703.96 | $38,018.94 |