- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,470.10 / $36,524.50 / $61,129.10
| Facility | | $26,470.10 | $36,524.50 | $61,129.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,117.27 / $49,117.27 / $49,117.27
| Facility | | $49,117.27 | $49,117.27 | $49,117.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,272.00 / $40,581.85 / $63,629.34
| Facility | | $3,272.00 | $40,581.85 | $63,629.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,091.92 / $41,091.65 / $68,910.44
| Facility | | $27,091.92 | $41,091.65 | $68,910.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,062.00 / $41,902.56 / $73,742.28
| Facility | | $4,062.00 | $41,902.56 | $73,742.28 |