- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,915.60 / $45,435.10 / $70,147.89
| Facility | | $30,915.60 | $45,435.10 | $70,147.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,509.58 / $48,509.58 / $48,509.58
| Facility | | $48,509.58 | $48,509.58 | $48,509.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,240.92 / $74,268.28 / $95,215.74
| Facility | | $52,240.92 | $74,268.28 | $95,215.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,794.46 / $60,537.36 / $80,593.00
| Facility | | $34,794.46 | $60,537.36 | $80,593.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,915.60 / $46,472.20 / $74,311.10
| Facility | | $30,915.60 | $46,472.20 | $74,311.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,155.49 / $61,826.33 / $93,932.17
| Facility | | $36,155.49 | $61,826.33 | $93,932.17 |