- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,065.30 / $35,967.60 / $45,830.50
| Facility | | $23,065.30 | $35,967.60 | $45,830.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,479.33 / $35,479.33 / $35,479.33
| Facility | | $35,479.33 | $35,479.33 | $35,479.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,622.65 / $36,844.16 / $43,397.64
| Facility | | $20,622.65 | $36,844.16 | $43,397.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,631.95 / $37,365.81 / $52,346.76
| Facility | | $19,631.95 | $37,365.81 | $52,346.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,507.16 / $40,760.90 / $52,346.76
| Facility | | $35,507.16 | $40,760.90 | $52,346.76 |