- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,289.90 / $31,433.30 / $31,433.30
| Facility | | $28,289.90 | $31,433.30 | $31,433.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,778.40 / $28,778.40 / $28,778.40
| Facility | | $28,778.40 | $28,778.40 | $28,778.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,846.34 / $28,240.53 / $57,677.33
| Facility | | $17,846.34 | $28,240.53 | $57,677.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,983.39 / $36,834.44 / $54,390.54
| Facility | | $25,983.39 | $36,834.44 | $54,390.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,509.98 / $46,960.54 / $60,633.91
| Facility | | $26,509.98 | $46,960.54 | $60,633.91 |