- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,717.19 / $45,241.30 / $45,241.30
| Facility | | $40,717.19 | $45,241.30 | $45,241.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,015.96 / $37,015.96 / $37,015.96
| Facility | | $37,015.96 | $37,015.96 | $37,015.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,784.13 / $39,574.62 / $68,152.00
| Facility | | $22,784.13 | $39,574.62 | $68,152.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,503.00 / $51,073.62 / $78,283.30
| Facility | | $31,503.00 | $51,073.62 | $78,283.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,398.00 / $56,425.75 / $87,222.54
| Facility | | $34,398.00 | $56,425.75 | $87,222.54 |