- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,655.20 / $27,205.50 / $44,163.10
| Facility | | $18,655.20 | $27,205.50 | $44,163.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,646.24 / $48,646.24 / $48,646.24
| Facility | | $48,646.24 | $48,646.24 | $48,646.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,803.15 / $66,537.67 / $85,304.71
| Facility | | $46,803.15 | $66,537.67 | $85,304.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,905.59 / $42,352.40 / $50,739.03
| Facility | | $21,905.59 | $42,352.40 | $50,739.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,463.59 / $29,257.60 / $46,784.10
| Facility | | $19,463.59 | $29,257.60 | $46,784.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,762.45 / $38,924.07 / $59,136.98
| Facility | | $22,762.45 | $38,924.07 | $59,136.98 |