- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $48,977.88 / $91,201.08
| Facility | | $31,622.78 | $48,977.88 | $91,201.08 |
- 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
- $26,915.35 / $41,686.94 / $66,069.34
| Facility | | $26,915.35 | $41,686.94 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $27,542.29 / $66,069.34
| Facility | | $10,715.19 | $27,542.29 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $46,773.51 / $63,095.73
| Facility | | $26,302.68 | $46,773.51 | $63,095.73 |