- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $46,773.51 / $81,283.05
| Facility | | $33,113.11 | $46,773.51 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $40,738.03 / $58,884.37
| Facility | | $24,547.09 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $39,810.72 / $70,794.58
| Facility | | $28,183.83 | $39,810.72 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $446.68 / $676.08
| Facility | | $190.55 | $446.68 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $41,686.94 / $63,095.73
| Facility | | $28,183.83 | $41,686.94 | $63,095.73 |