- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $38,018.94 / $70,794.58
| Facility | | $14,125.38 | $38,018.94 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $58,884.37 / $74,131.02
| Facility | | $39,810.72 | $58,884.37 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $50,118.72 / $64,565.42
| Facility | | $31,622.78 | $50,118.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $44,668.36 / $112,201.85
| Facility | | $25,118.86 | $44,668.36 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $38,018.94 / $61,659.50
| Facility | | $9,332.54 | $38,018.94 | $61,659.50 |