- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,556.40 / $34,619.60 / $53,449.70
| Facility | | $23,556.40 | $34,619.60 | $53,449.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,549.16 / $42,549.16 / $42,549.16
| Facility | | $42,549.16 | $42,549.16 | $42,549.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,703.39 / $107,623.67 / $137,979.07
| Facility | | $75,703.39 | $107,623.67 | $137,979.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,511.88 / $48,019.52 / $61,408.40
| Facility | | $26,511.88 | $48,019.52 | $61,408.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,556.40 / $35,409.80 / $56,621.90
| Facility | | $23,556.40 | $35,409.80 | $56,621.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,548.92 / $47,109.00 / $71,572.25
| Facility | | $27,548.92 | $47,109.00 | $71,572.25 |