- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,584.50 / $36,438.10 / $64,120.60
| Facility | | $21,584.50 | $36,438.10 | $64,120.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,802.24 / $48,419.31 / $80,058.62
| Facility | | $32,802.24 | $48,419.31 | $80,058.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,634.45 / $33,030.22 / $45,320.39
| Facility | | $19,634.45 | $33,030.22 | $45,320.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,404.25 / $71,404.25 / $83,798.95
| Facility | | $71,404.25 | $71,404.25 | $83,798.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $31,755.53 / $45,359.13
| Facility | | $1,787.00 | $31,755.53 | $45,359.13 |