- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,844.90 / $55,573.80 / $93,903.70
| Facility | | $33,844.90 | $55,573.80 | $93,903.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,991.70 / $18,991.70 / $40,444.22
| Facility | | $18,991.70 | $18,991.70 | $40,444.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,306.64 / $41,024.12 / $72,415.89
| Facility | | $28,306.64 | $41,024.12 | $72,415.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,765.77 / $35,533.10 / $73,034.02
| Facility | | $17,765.77 | $35,533.10 | $73,034.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,634.23 / $52,236.46 / $69,538.66
| Facility | | $33,634.23 | $52,236.46 | $69,538.66 |