- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,371.40 / $58,675.20 / $78,737.50
| Facility | | $35,371.40 | $58,675.20 | $78,737.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,587.94 / $39,587.94 / $39,587.94
| Facility | | $39,587.94 | $39,587.94 | $39,587.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,146.41 / $48,501.76 / $77,604.69
| Facility | | $29,146.41 | $48,501.76 | $77,604.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,187.89 / $47,242.50 / $108,345.95
| Facility | | $32,187.89 | $47,242.50 | $108,345.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,010.87 / $46,537.01 / $67,090.64
| Facility | | $34,010.87 | $46,537.01 | $67,090.64 |