- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,683.60 / $51,798.90 / $91,151.10
| Facility | | $30,683.60 | $51,798.90 | $91,151.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,671.66 / $40,857.75 / $66,985.13
| Facility | | $27,671.66 | $40,857.75 | $66,985.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,911.50 / $46,954.37 / $64,425.57
| Facility | | $27,911.50 | $46,954.37 | $64,425.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,106.80 / $94,106.80 / $110,442.32
| Facility | | $94,106.80 | $94,106.80 | $110,442.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $41,136.61 / $64,135.51
| Facility | | $2,520.00 | $41,136.61 | $64,135.51 |