- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,539.10 / $45,825.30 / $73,513.50
| Facility | | $28,539.10 | $45,825.30 | $73,513.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,616.97 / $42,797.41 / $48,615.60
| Facility | | $36,616.97 | $42,797.41 | $48,615.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,934.64 / $39,686.54 / $57,441.04
| Facility | | $22,934.64 | $39,686.54 | $57,441.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,707.51 / $33,983.87 / $65,956.60
| Facility | | $15,707.51 | $33,983.87 | $65,956.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,000.00 / $40,277.99 / $52,777.59
| Facility | | $20,000.00 | $40,277.99 | $52,777.59 |