- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $46,773.51 / $70,794.58
| Facility | | $36,307.81 | $46,773.51 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $36,307.81
| Facility | | $33,113.11 | $33,113.11 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $46,773.51 / $67,608.30
| Facility | | $6,918.31 | $46,773.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $69,183.10
| Facility | | $26,915.35 | $37,153.52 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $30,902.95 / $63,095.73
| Facility | | $3,311.31 | $30,902.95 | $63,095.73 |