- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $44,668.36 / $67,608.30
| Facility | | $32,359.37 | $44,668.36 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $39,810.72 / $57,543.99
| Facility | | $23,442.29 | $39,810.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,904.51 / $69,183.10
| Facility | | $27,542.29 | $38,904.51 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $436.52 / $660.69
| Facility | | $186.21 | $436.52 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $42,657.95 / $63,095.73
| Facility | | $27,542.29 | $42,657.95 | $63,095.73 |