- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,371.90 / $44,643.40 / $63,210.20
| Facility | | $24,371.90 | $44,643.40 | $63,210.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,704.46 / $40,704.46 / $40,704.46
| Facility | | $40,704.46 | $40,704.46 | $40,704.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,297.22 / $45,079.54 / $73,971.33
| Facility | | $28,297.22 | $45,079.54 | $73,971.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,339.38 / $40,159.08 / $71,449.37
| Facility | | $25,339.38 | $40,159.08 | $71,449.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $38,850.29 / $84,489.02
| Facility | | $7,117.00 | $38,850.29 | $84,489.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $37,064.60 / $75,081.35
| Facility | | $3,308.00 | $37,064.60 | $75,081.35 |