- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $56,234.13 / $107,151.93
| Facility | | $36,307.81 | $56,234.13 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $47,863.01 / $75,857.76
| Facility | | $30,902.95 | $47,863.01 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $50,118.72 / $93,325.43
| Facility | | $26,302.68 | $50,118.72 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $53,703.18 / $74,131.02
| Facility | | $26,915.35 | $53,703.18 | $74,131.02 |