- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,745.50 / $40,745.50 / $48,291.40
| Facility | | $40,745.50 | $40,745.50 | $48,291.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,106.97 / $47,358.60 / $70,845.58
| Facility | | $29,106.97 | $47,358.60 | $70,845.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,324.76 / $41,246.44 / $70,176.05
| Facility | | $33,324.76 | $41,246.44 | $70,176.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,815.09 / $47,838.39 / $78,304.55
| Facility | | $29,815.09 | $47,838.39 | $78,304.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.18 / $27,023.52 / $39,957.00
| Facility | | $428.18 | $27,023.52 | $39,957.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,928.12 / $47,262.30 / $55,545.05
| Facility | | $33,928.12 | $47,262.30 | $55,545.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,441.62 / $50,039.05 / $63,548.61
| Facility | | $28,441.62 | $50,039.05 | $63,548.61 |