- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $39,810.72 / $74,131.02
| Facility | | $15,135.61 | $39,810.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $63,095.73 / $77,624.71
| Facility | | $42,657.95 | $63,095.73 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $53,703.18 / $69,183.10
| Facility | | $33,884.42 | $53,703.18 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $46,773.51 / $120,226.44
| Facility | | $26,302.68 | $46,773.51 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $40,738.03 / $66,069.34
| Facility | | $9,549.93 | $40,738.03 | $66,069.34 |