- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,040.80 / $37,208.40 / $65,476.10
| Facility | | $22,040.80 | $37,208.40 | $65,476.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,220.76 / $48,342.20 / $80,006.53
| Facility | | $32,220.76 | $48,342.20 | $80,006.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,049.50 / $33,728.47 / $46,278.46
| Facility | | $20,049.50 | $33,728.47 | $46,278.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,312.45 / $70,312.45 / $82,517.63
| Facility | | $70,312.45 | $70,312.45 | $82,517.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $32,426.83 / $46,318.02
| Facility | | $1,787.00 | $32,426.83 | $46,318.02 |