- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $46,773.51 / $69,183.10
| Facility | | $30,902.95 | $46,773.51 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $31,622.78 / $52,480.75
| Facility | | $11,748.98 | $31,622.78 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,904.51 / $66,069.34
| Facility | | $26,915.35 | $38,904.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $45,708.82 / $64,565.42
| Facility | | $35,481.34 | $45,708.82 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $42,657.95 / $66,069.34
| Facility | | $22,387.21 | $42,657.95 | $66,069.34 |