- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,498.50 / $62,193.30 / $86,059.30
| Facility | | $38,498.50 | $62,193.30 | $86,059.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,800.75 / $19,800.75 / $19,800.75
| Facility | | $19,800.75 | $19,800.75 | $19,800.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,735.58 / $55,658.85 / $84,324.35
| Facility | | $34,735.58 | $55,658.85 | $84,324.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,147.76 / $57,506.14 / $89,077.20
| Facility | | $37,147.76 | $57,506.14 | $89,077.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,809.19 / $55,265.82 / $84,297.83
| Facility | | $33,809.19 | $55,265.82 | $84,297.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $65,663.57 / $95,657.61
| Facility | | $10,403.00 | $65,663.57 | $95,657.61 |