- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $29,512.09 / $29,512.09
| Facility | | $28,183.83 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $35,481.34 / $52,480.75
| Facility | | $26,915.35 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $36,307.81 / $75,857.76
| Facility | | $14,791.08 | $36,307.81 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,183.83 / $30,199.52
| Facility | | $17,782.79 | $28,183.83 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $37,153.52 / $61,659.50
| Facility | | $34,673.69 | $37,153.52 | $61,659.50 |