- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,557.90 / $42,396.30 / $56,892.50
| Facility | | $25,557.90 | $42,396.30 | $56,892.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,326.31 / $27,326.31 / $27,326.31
| Facility | | $27,326.31 | $27,326.31 | $27,326.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,920.23 / $33,684.08 / $53,895.82
| Facility | | $19,920.23 | $33,684.08 | $53,895.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,986.51 / $34,135.50 / $78,286.36
| Facility | | $20,986.51 | $34,135.50 | $78,286.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,768.72 / $33,625.74 / $47,634.95
| Facility | | $24,768.72 | $33,625.74 | $47,634.95 |