- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,116.60 / $41,393.90 / $84,123.40
| Facility | | $32,116.60 | $41,393.90 | $84,123.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,879.46 / $46,879.46 / $46,879.46
| Facility | | $46,879.46 | $46,879.46 | $46,879.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,466.56 / $41,951.04 / $47,960.88
| Facility | | $33,466.56 | $41,951.04 | $47,960.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,635.90 / $45,378.23 / $59,016.34
| Facility | | $25,635.90 | $45,378.23 | $59,016.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,695.21 / $53,695.21 / $53,695.21
| Facility | | $53,695.21 | $53,695.21 | $53,695.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $41,232.56 / $57,967.60
| Facility | | $1,518.00 | $41,232.56 | $57,967.60 |