- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,965.70 / $34,755.10 / $70,631.50
| Facility | | $26,965.70 | $34,755.10 | $70,631.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,823.01 / $34,823.01 / $34,823.01
| Facility | | $34,823.01 | $34,823.01 | $34,823.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,535.22 / $34,515.98 / $39,460.69
| Facility | | $27,535.22 | $34,515.98 | $39,460.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,336.21 / $35,451.22 / $48,730.85
| Facility | | $21,336.21 | $35,451.22 | $48,730.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,046.46 / $40,046.46 / $40,046.46
| Facility | | $40,046.46 | $40,046.46 | $40,046.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $34,619.60 / $48,670.64
| Facility | | $1,518.00 | $34,619.60 | $48,670.64 |