- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,760.30 / $35,447.80 / $62,020.20
| Facility | | $26,760.30 | $35,447.80 | $62,020.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,630.49 / $28,630.49 / $28,630.49
| Facility | | $28,630.49 | $28,630.49 | $28,630.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $30,029.69 / $61,390.86
| Facility | | $5,939.30 | $30,029.69 | $61,390.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,245.25 / $34,009.19 / $55,373.18
| Facility | | $19,245.25 | $34,009.19 | $55,373.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $36,530.62 / $62,749.55
| Facility | | $3,496.00 | $36,530.62 | $62,749.55 |