- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $40,738.03
| Facility | | $39,810.72 | $39,810.72 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $37,153.52 / $54,954.09
| Facility | | $28,183.83 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $38,018.94 / $60,255.96
| Facility | | $15,488.17 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $32,359.37 / $40,738.03
| Facility | | $18,620.87 | $32,359.37 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $43,651.58 / $72,443.60
| Facility | | $36,307.81 | $43,651.58 | $72,443.60 |