- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,413.90 / $47,379.80 / $78,835.20
| Facility | | $28,413.90 | $47,379.80 | $78,835.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,483.50 / $34,483.50 / $34,483.50
| Facility | | $34,483.50 | $34,483.50 | $34,483.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,364.74 / $38,536.78 / $60,795.49
| Facility | | $24,364.74 | $38,536.78 | $60,795.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,692.82 / $26,214.12 / $61,314.43
| Facility | | $11,692.82 | $26,214.12 | $61,314.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,237.03 / $43,854.20 / $58,379.96
| Facility | | $28,237.03 | $43,854.20 | $58,379.96 |