- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $35,481.34 / $58,884.37
| Facility | | $17,782.79 | $35,481.34 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $64,565.42 / $85,113.80
| Facility | | $45,708.82 | $64,565.42 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $52,480.75 / $72,443.60
| Facility | | $42,657.95 | $52,480.75 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $52,480.75 / $70,794.58
| Facility | | $31,622.78 | $52,480.75 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $53,703.18 / $74,131.02
| Facility | | $32,359.37 | $53,703.18 | $74,131.02 |