- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,066.40 / $26,551.20 / $40,992.69
| Facility | | $18,066.40 | $26,551.20 | $40,992.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,350.15 / $33,350.15 / $41,281.23
| Facility | | $33,350.15 | $33,350.15 | $41,281.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,219.68 / $50,070.03 / $64,192.35
| Facility | | $35,219.68 | $50,070.03 | $64,192.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,333.05 / $39,312.05 / $48,019.52
| Facility | | $20,333.05 | $39,312.05 | $48,019.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,066.40 / $27,157.30 / $43,425.60
| Facility | | $18,066.40 | $27,157.30 | $43,425.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,128.41 / $36,129.83 / $54,891.72
| Facility | | $21,128.41 | $36,129.83 | $54,891.72 |