- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,034.50 / $38,949.40 / $62,713.60
| Facility | | $17,034.50 | $38,949.40 | $62,713.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $20,081.39 / $53,877.72
| Facility | | $1,474.01 | $20,081.39 | $53,877.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,194.38 / $40,724.14 / $57,690.64
| Facility | | $28,194.38 | $40,724.14 | $57,690.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,644.99 / $34,156.46 / $71,732.78
| Facility | | $24,644.99 | $34,156.46 | $71,732.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,139.08 / $34,156.46 / $72,658.99
| Facility | | $23,139.08 | $34,156.46 | $72,658.99 |