- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,417.80 / $45,481.40 / $61,032.50
| Facility | | $27,417.80 | $45,481.40 | $61,032.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,302.73 / $37,302.73 / $37,302.73
| Facility | | $37,302.73 | $37,302.73 | $37,302.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,014.45 / $37,397.81 / $59,144.75
| Facility | | $22,014.45 | $37,397.81 | $59,144.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,513.67 / $37,803.53 / $83,983.16
| Facility | | $22,513.67 | $37,803.53 | $83,983.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,920.66 / $36,072.65 / $51,731.15
| Facility | | $25,920.66 | $36,072.65 | $51,731.15 |