- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,189.10 / $49,358.60 / $86,190.10
| Facility | | $37,189.10 | $49,358.60 | $86,190.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,417.62 / $27,598.16 / $39,825.50
| Facility | | $17,417.62 | $27,598.16 | $39,825.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,786.47 / $40,671.67 / $82,854.44
| Facility | | $5,786.47 | $40,671.67 | $82,854.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,965.36 / $50,443.66 / $76,952.70
| Facility | | $32,965.36 | $50,443.66 | $76,952.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $53,333.00 / $87,203.73
| Facility | | $3,496.00 | $53,333.00 | $87,203.73 |