- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,774.80 / $37,638.90 / $49,470.40
| Facility | | $25,774.80 | $37,638.90 | $49,470.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,581.49 / $42,581.49 / $42,581.49
| Facility | | $42,581.49 | $42,581.49 | $42,581.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,270.28 / $19,799.70 / $33,488.53
| Facility | | $7,270.28 | $19,799.70 | $33,488.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,183.66 / $37,806.12 / $63,278.92
| Facility | | $26,183.66 | $37,806.12 | $63,278.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,421.18 / $42,192.14 / $61,603.97
| Facility | | $32,421.18 | $42,192.14 | $61,603.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,421.18 / $39,223.22 / $61,603.97
| Facility | | $32,421.18 | $39,223.22 | $61,603.97 |