- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $44,668.36 / $83,176.38
| Facility | | $16,982.44 | $44,668.36 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $70,794.58 / $87,096.36
| Facility | | $46,773.51 | $70,794.58 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $60,255.96 / $77,624.71
| Facility | | $38,018.94 | $60,255.96 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $53,703.18 / $131,825.67
| Facility | | $29,512.09 | $53,703.18 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $45,708.82 / $77,624.71
| Facility | | $9,332.54 | $45,708.82 | $77,624.71 |