- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,218.50 / $49,150.90 / $81,602.20
| Facility | | $33,218.50 | $49,150.90 | $81,602.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,664.58 / $25,664.58 / $42,106.95
| Facility | | $25,664.58 | $25,664.58 | $42,106.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,583.65 / $42,820.00 / $73,955.85
| Facility | | $28,583.65 | $42,820.00 | $73,955.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,801.58 / $53,727.23 / $78,037.00
| Facility | | $38,801.58 | $53,727.23 | $78,037.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,329.75 / $51,510.71 / $84,370.71
| Facility | | $25,329.75 | $51,510.71 | $84,370.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,329.75 / $50,360.32 / $70,624.96
| Facility | | $25,329.75 | $50,360.32 | $70,624.96 |