- 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
- $14,125.38 / $27,542.29 / $58,884.37
| Facility | | $14,125.38 | $27,542.29 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $58,884.37
| Facility | | $22,908.68 | $31,622.78 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $58,884.37
| Facility | | $22,908.68 | $31,622.78 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $37,153.52 / $63,095.73
| Facility | | $5,370.32 | $37,153.52 | $63,095.73 |