- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,478.80 / $40,571.90 / $82,452.89
| Facility | | $31,478.80 | $40,571.90 | $82,452.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,410.38 / $28,410.38 / $28,410.38
| Facility | | $28,410.38 | $28,410.38 | $28,410.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,378.77 / $38,080.43 / $43,535.77
| Facility | | $30,378.77 | $38,080.43 | $43,535.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,126.82 / $44,477.10 / $57,844.39
| Facility | | $25,126.82 | $44,477.10 | $57,844.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,219.61 / $54,219.61 / $54,219.61
| Facility | | $54,219.61 | $54,219.61 | $54,219.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $40,413.76 / $56,816.48
| Facility | | $1,518.00 | $40,413.76 | $56,816.48 |