- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,467.60 / $43,472.20 / $70,660.60
| Facility | | $25,467.60 | $43,472.20 | $70,660.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,481.44 / $36,481.44 / $36,481.44
| Facility | | $36,481.44 | $36,481.44 | $36,481.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,838.33 / $34,540.85 / $54,491.53
| Facility | | $21,838.33 | $34,540.85 | $54,491.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,136.31 / $39,865.90 / $80,771.50
| Facility | | $20,136.31 | $39,865.90 | $80,771.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $36,076.00 / $49,623.27
| Facility | | $6,842.00 | $36,076.00 | $49,623.27 |