- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,970.90 / $34,970.90 / $41,447.40
| Facility | | $34,970.90 | $34,970.90 | $41,447.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,540.04 / $39,927.96 / $59,729.79
| Facility | | $24,540.04 | $39,927.96 | $59,729.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,601.86 / $35,400.85 / $60,230.45
| Facility | | $28,601.86 | $35,400.85 | $60,230.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,589.59 / $41,058.56 / $67,206.95
| Facility | | $25,589.59 | $41,058.56 | $67,206.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.00 / $22,783.48 / $34,294.15
| Facility | | $361.00 | $22,783.48 | $34,294.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,119.70 / $40,564.12 / $47,673.01
| Facility | | $29,119.70 | $40,564.12 | $47,673.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,280.52 / $44,070.55 / $58,016.57
| Facility | | $26,280.52 | $44,070.55 | $58,016.57 |