- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $46,773.51 / $70,794.58
| Facility | | $33,884.42 | $46,773.51 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $41,686.94 / $60,255.96
| Facility | | $25,118.86 | $41,686.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $40,738.03 / $72,443.60
| Facility | | $28,840.32 | $40,738.03 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $457.09 / $691.83
| Facility | | $194.98 | $457.09 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $45,708.82 / $66,069.34
| Facility | | $28,840.32 | $45,708.82 | $66,069.34 |