- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $33,113.11 / $44,668.36
| Facility | | $29,512.09 | $33,113.11 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $37,153.52 / $56,234.13
| Facility | | $30,199.52 | $37,153.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $37,153.52 / $52,480.75
| Facility | | $19,054.61 | $37,153.52 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $38,018.94 / $53,703.18
| Facility | | $19,054.61 | $38,018.94 | $53,703.18 |