- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,810.90 / $37,133.30 / $75,464.80
| Facility | | $28,810.90 | $37,133.30 | $75,464.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,515.09 / $30,515.09 / $44,192.31
| Facility | | $30,515.09 | $30,515.09 | $44,192.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,997.26 / $40,707.56 / $52,941.94
| Facility | | $22,997.26 | $40,707.56 | $52,941.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,821.16 / $50,821.16 / $50,821.16
| Facility | | $50,821.16 | $50,821.16 | $50,821.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $36,988.60 / $52,001.15
| Facility | | $1,518.00 | $36,988.60 | $52,001.15 |