- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $64,565.42 / $83,176.38
| Facility | | $44,668.36 | $64,565.42 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $27,542.29 / $58,884.37
| Facility | | $15,135.61 | $27,542.29 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $58,884.37
| Facility | | $22,908.68 | $31,622.78 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $58,884.37
| Facility | | $22,908.68 | $31,622.78 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $40,738.03 / $64,565.42
| Facility | | $5,370.32 | $40,738.03 | $64,565.42 |