- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,290.80 / $25,215.80 / $40,933.10
| Facility | | $17,290.80 | $25,215.80 | $40,933.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,030.47 / $66,860.84 / $85,719.02
| Facility | | $47,030.47 | $66,860.84 | $85,719.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,303.46 / $39,254.83 / $48,019.52
| Facility | | $20,303.46 | $39,254.83 | $48,019.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,040.09 / $27,117.70 / $43,362.40
| Facility | | $18,040.09 | $27,117.70 | $43,362.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,097.66 / $36,077.25 / $54,811.84
| Facility | | $21,097.66 | $36,077.25 | $54,811.84 |