- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,692.60 / $51,253.80 / $89,674.70
| Facility | | $38,692.60 | $51,253.80 | $89,674.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,060.51 / $27,721.63 / $31,854.98
| Facility | | $26,060.51 | $27,721.63 | $31,854.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $43,394.55 / $86,691.53
| Facility | | $5,939.30 | $43,394.55 | $86,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,512.00 / $49,173.71 / $80,063.78
| Facility | | $17,512.00 | $49,173.71 | $80,063.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $52,819.45 / $80,675.17
| Facility | | $3,496.00 | $52,819.45 | $80,675.17 |