- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $38,018.94 / $63,095.73
| Facility | | $17,782.79 | $38,018.94 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $69,183.10 / $91,201.08
| Facility | | $48,977.88 | $69,183.10 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $56,234.13 / $79,432.82
| Facility | | $45,708.82 | $56,234.13 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $56,234.13 / $75,857.76
| Facility | | $33,884.42 | $56,234.13 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $57,543.99 / $79,432.82
| Facility | | $34,673.69 | $57,543.99 | $79,432.82 |