- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,477.10 / $38,664.50 / $50,818.40
| Facility | | $26,477.10 | $38,664.50 | $50,818.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,120.21 / $30,120.21 / $30,120.21
| Facility | | $30,120.21 | $30,120.21 | $30,120.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,976.69 / $27,391.51 / $45,954.90
| Facility | | $9,976.69 | $27,391.51 | $45,954.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,954.58 / $37,101.36 / $65,003.15
| Facility | | $24,954.58 | $37,101.36 | $65,003.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,304.60 / $43,341.80 / $63,282.56
| Facility | | $33,304.60 | $43,341.80 | $63,282.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,304.60 / $40,291.98 / $63,282.56
| Facility | | $33,304.60 | $40,291.98 | $63,282.56 |