- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,856.40 / $36,507.10 / $36,507.10
| Facility | | $32,856.40 | $36,507.10 | $36,507.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,278.79 / $20,278.79 / $49,269.44
| Facility | | $20,278.79 | $20,278.79 | $49,269.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,865.40 / $34,662.48 / $62,345.02
| Facility | | $19,865.40 | $34,662.48 | $62,345.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,041.00 / $41,213.48 / $63,170.12
| Facility | | $28,041.00 | $41,213.48 | $63,170.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,017.00 / $46,303.11 / $75,613.00
| Facility | | $26,017.00 | $46,303.11 | $75,613.00 |