- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,389.50 / $43,338.90 / $70,443.80
| Facility | | $25,389.50 | $43,338.90 | $70,443.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,835.10 / $32,069.81 / $35,216.93
| Facility | | $30,835.10 | $32,069.81 | $35,216.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,690.22 / $34,434.86 / $54,324.33
| Facility | | $21,690.22 | $34,434.86 | $54,324.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,085.28 / $20,228.40 / $54,788.03
| Facility | | $8,085.28 | $20,228.40 | $54,788.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,561.00 / $35,121.07 / $49,913.92
| Facility | | $23,561.00 | $35,121.07 | $49,913.92 |