- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,770.86 / $40,805.71 / $40,805.71
| Facility | | $35,770.86 | $40,805.71 | $40,805.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,232.23 / $33,550.91 / $70,188.00
| Facility | | $18,232.23 | $33,550.91 | $70,188.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,735.71 / $53,547.23 / $73,054.00
| Facility | | $32,735.71 | $53,547.23 | $73,054.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,163.20 / $37,524.58 / $55,127.95
| Facility | | $24,163.20 | $37,524.58 | $55,127.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,560.59 / $30,560.59 / $53,183.84
| Facility | | $30,560.59 | $30,560.59 | $53,183.84 |