- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,245.30 / $43,536.40 / $58,422.50
| Facility | | $26,245.30 | $43,536.40 | $58,422.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,417.51 / $21,417.51 / $21,417.51
| Facility | | $21,417.51 | $21,417.51 | $21,417.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,530.45 / $32,967.39 / $52,749.10
| Facility | | $19,530.45 | $32,967.39 | $52,749.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,550.89 / $35,053.50 / $80,391.70
| Facility | | $21,550.89 | $35,053.50 | $80,391.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,434.82 / $34,530.03 / $48,915.99
| Facility | | $25,434.82 | $34,530.03 | $48,915.99 |