- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,493.70 / $45,752.40 / $73,396.50
| Facility | | $28,493.70 | $45,752.40 | $73,396.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,185.69 / $36,185.69 / $39,246.14
| Facility | | $36,185.69 | $36,185.69 | $39,246.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,898.13 / $36,352.51 / $57,349.60
| Facility | | $22,898.13 | $36,352.51 | $57,349.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,983.78 / $30,043.51 / $57,839.13
| Facility | | $15,983.78 | $30,043.51 | $57,839.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,681.47 / $41,662.69 / $52,693.58
| Facility | | $27,681.47 | $41,662.69 | $52,693.58 |