- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $54,954.09 / $58,884.37
| Facility | | $32,359.37 | $54,954.09 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $53,703.18 / $75,857.76
| Facility | | $36,307.81 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $43,651.58 / $66,069.34
| Facility | | $16,218.10 | $43,651.58 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $38,904.51 / $58,884.37
| Facility | | $15,488.17 | $38,904.51 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $51,286.14 / $77,624.71
| Facility | | $4,073.80 | $51,286.14 | $77,624.71 |