- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,781.50 / $34,517.69 / $70,149.10
| Facility | | $26,781.50 | $34,517.69 | $70,149.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,632.72 / $23,632.72 / $23,632.72
| Facility | | $23,632.72 | $23,632.72 | $23,632.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,927.78 / $32,501.02 / $37,157.07
| Facility | | $25,927.78 | $32,501.02 | $37,157.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,377.36 / $37,840.16 / $49,212.77
| Facility | | $21,377.36 | $37,840.16 | $49,212.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,177.63 / $27,177.63 / $27,177.63
| Facility | | $27,177.63 | $27,177.63 | $27,177.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $32,832.18 / $48,338.24
| Facility | | $1,518.00 | $32,832.18 | $48,338.24 |