- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,821.60 / $36,192.80 / $70,766.50
| Facility | | $23,821.60 | $36,192.80 | $70,766.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,992.51 / $33,992.51 / $33,992.51
| Facility | | $33,992.51 | $33,992.51 | $33,992.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,239.55 / $39,028.87 / $63,986.72
| Facility | | $27,239.55 | $39,028.87 | $63,986.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,129.46 / $35,471.62 / $50,017.72
| Facility | | $20,129.46 | $35,471.62 | $50,017.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,693.72 / $77,173.30 / $90,569.42
| Facility | | $36,693.72 | $77,173.30 | $90,569.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $35,046.90 / $50,060.48
| Facility | | $1,787.00 | $35,046.90 | $50,060.48 |