- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $46,773.51 / $66,069.34
| Facility | | $30,902.95 | $46,773.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $38,018.94 / $64,565.42
| Facility | | $14,125.38 | $38,018.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,904.51 / $64,565.42
| Facility | | $27,542.29 | $38,904.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $42,657.95 / $61,659.50
| Facility | | $33,884.42 | $42,657.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $40,738.03 / $60,255.96
| Facility | | $21,379.62 | $40,738.03 | $60,255.96 |