- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,333.30 / $46,656.90 / $75,837.10
| Facility | | $27,333.30 | $46,656.90 | $75,837.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,461.04 / $37,461.04 / $37,461.04
| Facility | | $37,461.04 | $37,461.04 | $37,461.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,438.14 / $37,071.22 / $58,483.43
| Facility | | $23,438.14 | $37,071.22 | $58,483.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,225.48 / $47,935.14 / $92,616.19
| Facility | | $23,225.48 | $47,935.14 | $92,616.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,163.17 / $42,186.42 / $56,159.76
| Facility | | $27,163.17 | $42,186.42 | $56,159.76 |