- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,075.10 / $30,819.50 / $52,035.70
| Facility | | $14,075.10 | $30,819.50 | $52,035.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,038.35 / $56,446.28 / $73,193.46
| Facility | | $38,038.35 | $56,446.28 | $73,193.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,345.10 / $43,813.88 / $64,492.33
| Facility | | $30,345.10 | $43,813.88 | $64,492.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,521.06 / $43,499.02 / $85,674.90
| Facility | | $24,521.06 | $43,499.02 | $85,674.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,345.10 / $47,282.70 / $64,847.87
| Facility | | $30,345.10 | $47,282.70 | $64,847.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,901.10 / $39,416.40 / $67,571.98
| Facility | | $8,901.10 | $39,416.40 | $67,571.98 |