- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,858.40 / $26,043.50 / $42,276.80
| Facility | | $17,858.40 | $26,043.50 | $42,276.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,919.09 / $47,919.09 / $47,919.09
| Facility | | $47,919.09 | $47,919.09 | $47,919.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,037.82 / $49,811.49 / $63,860.89
| Facility | | $35,037.82 | $49,811.49 | $63,860.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,969.96 / $40,543.44 / $48,571.87
| Facility | | $20,969.96 | $40,543.44 | $48,571.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,632.30 / $28,007.90 / $44,785.90
| Facility | | $18,632.30 | $28,007.90 | $44,785.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,790.22 / $37,261.55 / $56,611.13
| Facility | | $21,790.22 | $37,261.55 | $56,611.13 |