- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $54,954.09 / $85,113.80
| Facility | | $42,657.95 | $54,954.09 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $37,153.52 / $54,954.09
| Facility | | $23,988.33 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $52,480.75 / $81,283.05
| Facility | | $6,918.31 | $52,480.75 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $43,651.58 / $81,283.05
| Facility | | $31,622.78 | $43,651.58 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $36,307.81 / $66,069.34
| Facility | | $3,311.31 | $36,307.81 | $66,069.34 |