- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $54,954.09 / $70,794.58
| Facility | | $37,153.52 | $54,954.09 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $22,908.68 / $50,118.72
| Facility | | $11,748.98 | $22,908.68 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,302.68 / $48,977.88
| Facility | | $19,054.61 | $26,302.68 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,302.68 / $48,977.88
| Facility | | $19,054.61 | $26,302.68 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $33,884.42 / $53,703.18
| Facility | | $5,370.32 | $33,884.42 | $53,703.18 |