- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $38,018.94 / $70,794.58
| Facility | | $14,454.40 | $38,018.94 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $60,255.96 / $74,131.02
| Facility | | $40,738.03 | $60,255.96 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $51,286.14 / $66,069.34
| Facility | | $32,359.37 | $51,286.14 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $44,668.36 / $114,815.36
| Facility | | $26,302.68 | $44,668.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $38,904.51 / $63,095.73
| Facility | | $9,332.54 | $38,904.51 | $63,095.73 |