- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $42,657.95 / $79,432.82
| Facility | | $16,218.10 | $42,657.95 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $66,069.34 / $83,176.38
| Facility | | $44,668.36 | $66,069.34 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $56,234.13 / $72,443.60
| Facility | | $36,307.81 | $56,234.13 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $50,118.72 / $125,892.54
| Facility | | $28,183.83 | $50,118.72 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $42,657.95 / $70,794.58
| Facility | | $9,772.37 | $42,657.95 | $70,794.58 |