- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $45,708.82 / $61,659.50
| Facility | | $23,988.33 | $45,708.82 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $60,255.96
| Facility | | $25,118.86 | $36,307.81 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $37,153.52 / $66,069.34
| Facility | | $23,442.29 | $37,153.52 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $33,884.42 / $66,069.34
| Facility | | $7,943.28 | $33,884.42 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $31,622.78 / $69,183.10
| Facility | | $6,456.54 | $31,622.78 | $69,183.10 |