- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,483.50 / $46,835.50 / $75,411.20
| Facility | | $20,483.50 | $46,835.50 | $75,411.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,261.92 / $58,173.28
| Facility | | $1,474.01 | $14,261.92 | $58,173.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,918.00 / $46,383.82 / $69,371.28
| Facility | | $31,918.00 | $46,383.82 | $69,371.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,634.86 / $41,072.12 / $86,256.53
| Facility | | $29,634.86 | $41,072.12 | $86,256.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,824.06 / $41,072.12 / $87,370.27
| Facility | | $27,824.06 | $41,072.12 | $87,370.27 |