- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $25,703.96 / $28,183.83
| Facility | | $24,547.09 | $25,703.96 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $60,255.96 / $89,125.09
| Facility | | $45,708.82 | $60,255.96 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $89,125.09 / $95,499.26
| Facility | | $46,773.51 | $89,125.09 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $48,977.88 / $93,325.43
| Facility | | $30,199.52 | $48,977.88 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $42,657.95 / $58,884.37
| Facility | | $13,489.63 | $42,657.95 | $58,884.37 |