- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $43,651.58 / $60,255.96
| Facility | | $18,197.01 | $43,651.58 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $6,918.31 / $6,918.31
| Facility | | $6,918.31 | $6,918.31 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $57,543.99
| Facility | | $35,481.34 | $51,286.14 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $42,657.95 / $89,125.09
| Facility | | $30,902.95 | $42,657.95 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,018.94 / $77,624.71
| Facility | | $26,915.35 | $38,018.94 | $77,624.71 |