- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,442.50 / $40,491.60 / $40,491.60
| Facility | | $36,442.50 | $40,491.60 | $40,491.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,186.46 / $14,186.46 / $14,186.46
| Facility | | $14,186.46 | $14,186.46 | $14,186.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,126.30 / $31,881.41 / $42,849.46
| Facility | | $14,126.30 | $31,881.41 | $42,849.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $44,582.61 / $70,064.70
| Facility | | $19,942.00 | $44,582.61 | $70,064.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $51,356.77 / $78,107.27
| Facility | | $6,965.00 | $51,356.77 | $78,107.27 |