- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $47,863.01 / $74,131.02
| Facility | | $28,840.32 | $47,863.01 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $128,824.96 / $134,896.29
| Facility | | $97,723.72 | $128,824.96 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $60,255.96 / $77,624.71
| Facility | | $32,359.37 | $60,255.96 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $47,863.01 / $69,183.10
| Facility | | $33,113.11 | $47,863.01 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $47,863.01 / $51,286.14
| Facility | | $37,153.52 | $47,863.01 | $51,286.14 |