- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $38,904.51 / $60,255.96
| Facility | | $30,199.52 | $38,904.51 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $25,703.96 / $31,622.78
| Facility | | $23,442.29 | $25,703.96 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $37,153.52 / $57,543.99
| Facility | | $6,918.31 | $37,153.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $57,543.99
| Facility | | $22,387.21 | $30,902.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $25,703.96 / $53,703.18
| Facility | | $3,311.31 | $25,703.96 | $53,703.18 |