- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $64,565.42 / $83,176.38
| Facility | | $43,651.58 | $64,565.42 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $26,915.35 / $58,884.37
| Facility | | $14,791.08 | $26,915.35 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $57,543.99
| Facility | | $22,387.21 | $30,902.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $57,543.99
| Facility | | $22,387.21 | $30,902.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $36,307.81 / $61,659.50
| Facility | | $5,370.32 | $36,307.81 | $61,659.50 |