- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,235.10 / $38,725.90 / $67,755.70
| Facility | | $29,235.10 | $38,725.90 | $67,755.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,024.71 / $32,275.01 / $45,080.39
| Facility | | $31,024.71 | $32,275.01 | $45,080.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $33,799.15 / $66,006.80
| Facility | | $5,939.30 | $33,799.15 | $66,006.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,025.01 / $37,154.28 / $60,493.95
| Facility | | $21,025.01 | $37,154.28 | $60,493.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $39,908.90 / $68,552.48
| Facility | | $3,496.00 | $39,908.90 | $68,552.48 |