- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,480.10 / $40,533.50 / $40,533.50
| Facility | | $36,480.10 | $40,533.50 | $40,533.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,005.25 / $33,005.25 / $33,005.25
| Facility | | $33,005.25 | $33,005.25 | $33,005.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,554.16 / $29,761.38 / $59,188.83
| Facility | | $18,554.16 | $29,761.38 | $59,188.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $45,085.04 / $70,137.08
| Facility | | $19,942.00 | $45,085.04 | $70,137.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,631.65 / $59,207.23 / $95,108.30
| Facility | | $18,631.65 | $59,207.23 | $95,108.30 |