- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $26,302.68 / $50,118.72
| Facility | | $22,908.68 | $26,302.68 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $39,810.72
| Facility | | $35,481.34 | $35,481.34 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $28,840.32 / $46,773.51
| Facility | | $16,595.87 | $28,840.32 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $50,118.72
| Facility | | $24,547.09 | $38,018.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,018.94 / $58,884.37
| Facility | | $20,417.38 | $38,018.94 | $58,884.37 |