- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $56,234.13 / $72,443.60
| Facility | | $38,018.94 | $56,234.13 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $23,442.29 / $51,286.14
| Facility | | $12,882.50 | $23,442.29 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,915.35 / $50,118.72
| Facility | | $19,498.45 | $26,915.35 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,915.35 / $50,118.72
| Facility | | $19,498.45 | $26,915.35 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $34,673.69 / $54,954.09
| Facility | | $5,370.32 | $34,673.69 | $54,954.09 |