- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,551.60 / $48,964.10 / $78,384.20
| Facility | | $31,551.60 | $48,964.10 | $78,384.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,445.90 / $30,445.90 / $30,445.90
| Facility | | $30,445.90 | $30,445.90 | $30,445.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,774.18 / $38,467.31 / $54,589.49
| Facility | | $19,774.18 | $38,467.31 | $54,589.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,155.80 / $39,060.19 / $68,438.64
| Facility | | $29,155.80 | $39,060.19 | $68,438.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,312.74 / $44,236.05 / $59,277.63
| Facility | | $28,312.74 | $44,236.05 | $59,277.63 |