- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,886.70 / $38,611.50 / $62,169.40
| Facility | | $16,886.70 | $38,611.50 | $62,169.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $19,856.12 / $44,624.06
| Facility | | $1,474.01 | $19,856.12 | $44,624.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,949.74 / $38,239.07 / $57,190.07
| Facility | | $27,949.74 | $38,239.07 | $57,190.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,938.31 / $33,035.01 / $69,932.14
| Facility | | $22,938.31 | $33,035.01 | $69,932.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,938.31 / $33,860.08 / $72,028.53
| Facility | | $22,938.31 | $33,860.08 | $72,028.53 |