- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,876.10 / $32,061.90 / $65,158.20
| Facility | | $24,876.10 | $32,061.90 | $65,158.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,181.18 / $30,311.62 / $34,654.01
| Facility | | $24,181.18 | $30,311.62 | $34,654.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,856.41 / $35,147.93 / $45,711.40
| Facility | | $19,856.41 | $35,147.93 | $45,711.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,604.48 / $42,604.48 / $42,604.48
| Facility | | $42,604.48 | $42,604.48 | $42,604.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $31,936.88 / $44,899.09
| Facility | | $1,518.00 | $31,936.88 | $44,899.09 |