- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $58,884.37 / $75,857.76
| Facility | | $39,810.72 | $58,884.37 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $24,547.09 / $53,703.18
| Facility | | $13,489.63 | $24,547.09 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,183.83 / $52,480.75
| Facility | | $20,417.38 | $28,183.83 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,183.83 / $52,480.75
| Facility | | $20,417.38 | $28,183.83 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $36,307.81 / $57,543.99
| Facility | | $5,370.32 | $36,307.81 | $57,543.99 |