- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,980.60 / $58,026.90 / $77,867.50
| Facility | | $34,980.60 | $58,026.90 | $77,867.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.75 / $27,542.75 / $27,542.75
| Facility | | $27,542.75 | $27,542.75 | $27,542.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,746.75 / $46,039.44 / $73,664.87
| Facility | | $26,746.75 | $46,039.44 | $73,664.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,723.76 / $46,720.50 / $107,148.79
| Facility | | $28,723.76 | $46,720.50 | $107,148.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,900.39 / $46,022.81 / $65,196.90
| Facility | | $33,900.39 | $46,022.81 | $65,196.90 |