- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,309.96 / $59,672.73 / $59,672.73
| Facility | | $52,309.96 | $59,672.73 | $59,672.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,258.74 / $16,258.74 / $16,258.74
| Facility | | $16,258.74 | $16,258.74 | $16,258.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,898.75 / $19,244.72 / $35,777.17
| Facility | | $11,898.75 | $19,244.72 | $35,777.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,224.73 / $31,098.00 / $35,672.00
| Facility | | $21,224.73 | $31,098.00 | $35,672.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,626.72 / $24,329.69 / $35,743.11
| Facility | | $15,626.72 | $24,329.69 | $35,743.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,814.46 / $19,814.46 / $34,482.62
| Facility | | $19,814.46 | $19,814.46 | $34,482.62 |