- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,337.80 / $31,117.60 / $50,513.70
| Facility | | $21,337.80 | $31,117.60 | $50,513.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,707.90 / $31,707.90 / $31,707.90
| Facility | | $31,707.90 | $31,707.90 | $31,707.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,260.44 / $62,922.82 / $80,670.28
| Facility | | $44,260.44 | $62,922.82 | $80,670.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,055.59 / $46,669.32 / $58,035.26
| Facility | | $25,055.59 | $46,669.32 | $58,035.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,262.40 / $33,464.80 / $53,511.60
| Facility | | $22,262.40 | $33,464.80 | $53,511.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,140.16 / $44,521.32 / $67,640.83
| Facility | | $24,140.16 | $44,521.32 | $67,640.83 |