- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,654.40 / $54,032.90 / $87,826.10
| Facility | | $31,654.40 | $54,032.90 | $87,826.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,363.86 / $44,363.86 / $44,676.25
| Facility | | $44,363.86 | $44,363.86 | $44,676.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,143.48 / $42,931.80 / $67,729.06
| Facility | | $27,143.48 | $42,931.80 | $67,729.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,098.82 / $23,280.03 / $68,307.19
| Facility | | $5,098.82 | $23,280.03 | $68,307.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $44,839.88 / $61,678.17
| Facility | | $6,842.00 | $44,839.88 | $61,678.17 |