- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,589.10 / $32,980.80 / $67,025.80
| Facility | | $25,589.10 | $32,980.80 | $67,025.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,191.01 / $38,191.01 / $38,191.01
| Facility | | $38,191.01 | $38,191.01 | $38,191.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,382.50 / $31,817.50 / $36,375.62
| Facility | | $25,382.50 | $31,817.50 | $36,375.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,425.55 / $36,155.36 / $47,021.61
| Facility | | $20,425.55 | $36,155.36 | $47,021.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,919.67 / $43,919.67 / $44,236.05
| Facility | | $43,919.67 | $43,919.67 | $44,236.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $32,852.28 / $46,186.02
| Facility | | $1,518.00 | $32,852.28 | $46,186.02 |