- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $30,199.52 / $60,255.96
| Facility | | $11,748.98 | $30,199.52 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $50,118.72 / $63,095.73
| Facility | | $34,673.69 | $50,118.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $43,651.58 / $56,234.13
| Facility | | $27,542.29 | $43,651.58 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $37,153.52 / $66,069.34
| Facility | | $19,952.62 | $37,153.52 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $30,199.52 / $52,480.75
| Facility | | $7,943.28 | $30,199.52 | $52,480.75 |