- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $56,234.13 / $141,253.75
| Facility | | $35,481.34 | $56,234.13 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $39,810.72 / $51,286.14
| Facility | | $33,113.11 | $39,810.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $41,686.94 / $72,443.60
| Facility | | $21,379.62 | $41,686.94 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $52,480.75 / $87,096.36
| Facility | | $15,488.17 | $52,480.75 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $69,183.10 / $120,226.44
| Facility | | $23,442.29 | $69,183.10 | $120,226.44 |