- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $42,657.95 / $70,794.58
| Facility | | $33,884.42 | $42,657.95 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $44,668.36 / $61,659.50
| Facility | | $34,673.69 | $44,668.36 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $40,738.03 / $57,543.99
| Facility | | $20,892.96 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $42,657.95 / $58,884.37
| Facility | | $13,803.84 | $42,657.95 | $58,884.37 |