- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $41,686.94 / $75,857.76
| Facility | | $15,488.17 | $41,686.94 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $64,565.42 / $81,283.05
| Facility | | $43,651.58 | $64,565.42 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $54,954.09 / $70,794.58
| Facility | | $34,673.69 | $54,954.09 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $48,977.88 / $123,026.88
| Facility | | $27,542.29 | $48,977.88 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $41,686.94 / $67,608.30
| Facility | | $9,332.54 | $41,686.94 | $67,608.30 |