- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,382.80 / $38,203.10 / $38,203.10
| Facility | | $34,382.80 | $38,203.10 | $38,203.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,231.46 / $51,231.46 / $51,231.46
| Facility | | $51,231.46 | $51,231.46 | $51,231.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,568.93 / $36,480.80 / $66,036.37
| Facility | | $19,568.93 | $36,480.80 | $66,036.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $43,128.05 / $66,104.69
| Facility | | $19,942.00 | $43,128.05 | $66,104.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,219.46 / $57,074.47 / $73,692.70
| Facility | | $32,219.46 | $57,074.47 | $73,692.70 |