- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,259.50 / $43,855.30 / $70,205.70
| Facility | | $28,259.50 | $43,855.30 | $70,205.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,002.44 / $37,002.44 / $37,002.44
| Facility | | $37,002.44 | $37,002.44 | $37,002.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,455.43 / $34,216.55 / $48,188.24
| Facility | | $17,455.43 | $34,216.55 | $48,188.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,876.52 / $40,040.28 / $72,333.00
| Facility | | $26,876.52 | $40,040.28 | $72,333.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,641.57 / $46,009.94 / $53,092.70
| Facility | | $25,641.57 | $46,009.94 | $53,092.70 |