- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,274.10 / $31,255.10 / $52,771.20
| Facility | | $14,274.10 | $31,255.10 | $52,771.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,392.93 / $54,935.61 / $76,100.74
| Facility | | $36,392.93 | $54,935.61 | $76,100.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,157.98 / $44,554.70 / $65,403.80
| Facility | | $31,157.98 | $44,554.70 | $65,403.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,927.84 / $44,056.39 / $92,387.64
| Facility | | $22,927.84 | $44,056.39 | $92,387.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,157.98 / $48,509.39 / $65,764.37
| Facility | | $31,157.98 | $48,509.39 | $65,764.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,074.94 / $39,063.97 / $61,930.81
| Facility | | $14,074.94 | $39,063.97 | $61,930.81 |