- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $38,018.94 / $48,977.88
| Facility | | $33,113.11 | $38,018.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $52,480.75 / $52,480.75
| Facility | | $52,480.75 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $40,738.03 / $70,794.58
| Facility | | $16,982.44 | $40,738.03 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $46,773.51 / $87,096.36
| Facility | | $35,481.34 | $46,773.51 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $43,651.58 / $70,794.58
| Facility | | $21,379.62 | $43,651.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $58,884.37
| Facility | | $25,118.86 | $39,810.72 | $58,884.37 |