- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $48,977.88 / $56,234.13
| Facility | | $35,481.34 | $48,977.88 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $16,595.87 / $16,595.87
| Facility | | $16,595.87 | $16,595.87 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $45,708.82 / $57,543.99
| Facility | | $24,547.09 | $45,708.82 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $87,096.36
| Facility | | $23,442.29 | $38,018.94 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $34,673.69 / $51,286.14
| Facility | | $21,379.62 | $34,673.69 | $51,286.14 |