- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $28,840.32 / $29,512.09
| Facility | | $28,840.32 | $28,840.32 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $41,686.94 / $61,659.50
| Facility | | $30,902.95 | $41,686.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $32,359.37 / $42,657.95
| Facility | | $16,982.44 | $32,359.37 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $20,892.96 / $34,673.69
| Facility | | $20,892.96 | $20,892.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $72,443.60
| Facility | | $40,738.03 | $40,738.03 | $72,443.60 |