- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $67,608.30 / $77,624.71
| Facility | | $48,977.88 | $67,608.30 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $26,302.68
| Facility | | $26,302.68 | $26,302.68 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $63,095.73 / $83,176.38
| Facility | | $33,884.42 | $63,095.73 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $48,977.88 / $120,226.44
| Facility | | $37,153.52 | $48,977.88 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $47,863.01 / $70,794.58
| Facility | | $29,512.09 | $47,863.01 | $70,794.58 |