- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,832.70 / $45,487.60 / $64,405.50
| Facility | | $24,832.70 | $45,487.60 | $64,405.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,033.01 / $39,033.01 / $39,033.01
| Facility | | $39,033.01 | $39,033.01 | $39,033.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,030.53 / $43,352.29 / $67,930.72
| Facility | | $27,030.53 | $43,352.29 | $67,930.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,818.54 / $40,918.47 / $72,800.46
| Facility | | $25,818.54 | $40,918.47 | $72,800.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $38,606.54 / $86,086.68
| Facility | | $7,117.00 | $38,606.54 | $86,086.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,520.00 / $38,606.54 / $79,466.45
| Facility | | $6,520.00 | $38,606.54 | $79,466.45 |