- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $42,657.95 / $60,255.96
| Facility | | $28,183.83 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $25,118.86 / $42,657.95
| Facility | | $9,332.54 | $25,118.86 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $34,673.69 / $60,255.96
| Facility | | $25,118.86 | $34,673.69 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $38,904.51 / $56,234.13
| Facility | | $30,902.95 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $38,018.94 / $54,954.09
| Facility | | $19,952.62 | $38,018.94 | $54,954.09 |