- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $40,738.03 / $56,234.13
| Facility | | $21,877.62 | $40,738.03 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $29,512.09 / $46,773.51
| Facility | | $19,952.62 | $29,512.09 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $43,651.58 / $60,255.96
| Facility | | $21,379.62 | $43,651.58 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $30,902.95 / $66,069.34
| Facility | | $7,079.46 | $30,902.95 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $31,622.78 / $63,095.73
| Facility | | $6,456.54 | $31,622.78 | $63,095.73 |