- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,986.30 / $40,492.80 / $71,255.60
| Facility | | $23,986.30 | $40,492.80 | $71,255.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,061.32 / $37,061.32 / $37,061.32
| Facility | | $37,061.32 | $37,061.32 | $37,061.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,786.36 / $39,634.26 / $65,565.95
| Facility | | $26,786.36 | $39,634.26 | $65,565.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,819.26 / $37,324.44 / $50,363.40
| Facility | | $21,819.26 | $37,324.44 | $50,363.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,239.55 / $77,239.55 / $90,647.17
| Facility | | $77,239.55 | $77,239.55 | $90,647.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,158.00 / $35,289.11 / $57,088.28
| Facility | | $3,158.00 | $35,289.11 | $57,088.28 |