- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,844.80 / $49,948.10 / $80,422.80
| Facility | | $21,844.80 | $49,948.10 | $80,422.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $23,483.32 / $66,751.44
| Facility | | $1,474.01 | $23,483.32 | $66,751.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,156.01 / $52,223.98 / $73,981.53
| Facility | | $36,156.01 | $52,223.98 | $73,981.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,604.33 / $43,801.69 / $91,988.95
| Facility | | $31,604.33 | $43,801.69 | $91,988.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,673.19 / $43,801.69 / $93,176.71
| Facility | | $29,673.19 | $43,801.69 | $93,176.71 |