- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,498.45 / $19,952.62
| Facility | | $19,498.45 | $19,498.45 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $66,069.34 / $97,723.72
| Facility | | $50,118.72 | $66,069.34 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $67,608.30
| Facility | | $27,542.29 | $40,738.03 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $40,738.03 / $53,703.18
| Facility | | $33,113.11 | $40,738.03 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $56,234.13 / $128,824.96
| Facility | | $54,954.09 | $56,234.13 | $128,824.96 |