- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $40,738.03 / $56,234.13
| Facility | | $21,877.62 | $40,738.03 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $57,543.99
| Facility | | $23,988.33 | $35,481.34 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $43,651.58 / $60,255.96
| Facility | | $21,379.62 | $43,651.58 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $31,622.78 / $66,069.34
| Facility | | $7,079.46 | $31,622.78 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $31,622.78 / $63,095.73
| Facility | | $6,456.54 | $31,622.78 | $63,095.73 |