- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,532.30 / $43,582.70 / $70,840.20
| Facility | | $25,532.30 | $43,582.70 | $70,840.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,644.06 / $36,644.06 / $36,644.06
| Facility | | $36,644.06 | $36,644.06 | $36,644.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,812.26 / $34,628.62 / $54,629.99
| Facility | | $21,812.26 | $34,628.62 | $54,629.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,532.50 / $39,174.67 / $73,066.85
| Facility | | $20,532.50 | $39,174.67 | $73,066.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,916.19 / $38,810.82 / $50,194.76
| Facility | | $27,916.19 | $38,810.82 | $50,194.76 |