- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $45,708.82 / $58,884.37
| Facility | | $30,902.95 | $45,708.82 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $19,498.45 / $41,686.94
| Facility | | $10,471.29 | $19,498.45 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,387.21 / $41,686.94
| Facility | | $16,218.10 | $22,387.21 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,387.21 / $41,686.94
| Facility | | $16,218.10 | $22,387.21 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $26,302.68 / $43,651.58
| Facility | | $5,370.32 | $26,302.68 | $43,651.58 |