- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,585.50 / $28,428.30 / $28,428.30
| Facility | | $25,585.50 | $28,428.30 | $28,428.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,612.91 / $37,612.91 / $37,612.91
| Facility | | $37,612.91 | $37,612.91 | $37,612.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,682.93 / $25,817.32 / $44,853.40
| Facility | | $14,682.93 | $25,817.32 | $44,853.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,499.45 / $33,313.18 / $49,190.96
| Facility | | $23,499.45 | $33,313.18 | $49,190.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,269.00 / $36,056.51 / $54,837.48
| Facility | | $14,269.00 | $36,056.51 | $54,837.48 |