- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $37,153.52 / $72,443.60
| Facility | | $13,489.63 | $37,153.52 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $60,255.96 / $75,857.76
| Facility | | $40,738.03 | $60,255.96 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $44,668.36 / $61,659.50
| Facility | | $15,488.17 | $44,668.36 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $45,708.82 / $114,815.36
| Facility | | $25,703.96 | $45,708.82 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $30,199.52 / $61,659.50
| Facility | | $8,317.64 | $30,199.52 | $61,659.50 |