- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,298.70 / $31,309.10 / $52,862.40
| Facility | | $14,298.70 | $31,309.10 | $52,862.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,283.07 / $57,345.22 / $74,359.10
| Facility | | $39,283.07 | $57,345.22 | $74,359.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,211.82 / $44,631.69 / $65,516.82
| Facility | | $31,211.82 | $44,631.69 | $65,516.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,967.46 / $44,132.52 / $92,547.30
| Facility | | $22,967.46 | $44,132.52 | $92,547.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,211.82 / $48,593.22 / $65,878.02
| Facility | | $31,211.82 | $48,593.22 | $65,878.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,042.50 / $40,042.55 / $61,121.36
| Facility | | $9,042.50 | $40,042.55 | $61,121.36 |