- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,593.40 / $24,386.40 / $37,650.50
| Facility | | $16,593.40 | $24,386.40 | $37,650.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,540.78 / $25,540.78 / $25,540.78
| Facility | | $25,540.78 | $25,540.78 | $25,540.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,441.27 / $67,444.85 / $86,467.75
| Facility | | $47,441.27 | $67,444.85 | $86,467.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,675.27 / $36,106.87 / $45,377.33
| Facility | | $18,675.27 | $36,106.87 | $45,377.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,593.40 / $24,943.10 / $39,885.10
| Facility | | $16,593.40 | $24,943.10 | $39,885.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,839.12 / $33,184.11 / $50,416.31
| Facility | | $21,839.12 | $33,184.11 | $50,416.31 |