- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $64,565.42 / $120,226.44
| Facility | | $41,686.94 | $64,565.42 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $14,125.38
| Facility | | $14,125.38 | $14,125.38 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $54,954.09 / $87,096.36
| Facility | | $35,481.34 | $54,954.09 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $47,863.01 / $91,201.08
| Facility | | $23,442.29 | $47,863.01 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $61,659.50 / $85,113.80
| Facility | | $33,884.42 | $61,659.50 | $85,113.80 |