- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,373.50 / $31,472.90 / $53,138.90
| Facility | | $14,373.50 | $31,472.90 | $53,138.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,982.90 / $55,665.10 / $72,180.50
| Facility | | $37,982.90 | $55,665.10 | $72,180.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,375.09 / $44,865.16 / $65,859.53
| Facility | | $31,375.09 | $44,865.16 | $65,859.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,087.60 / $44,363.38 / $93,031.41
| Facility | | $23,087.60 | $44,363.38 | $93,031.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,375.09 / $48,847.40 / $66,222.62
| Facility | | $31,375.09 | $48,847.40 | $66,222.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,089.79 / $40,252.01 / $62,105.84
| Facility | | $9,089.79 | $40,252.01 | $62,105.84 |