- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $50,118.72
| Facility | | $23,442.29 | $38,018.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $72,443.60 / $89,125.09
| Facility | | $48,977.88 | $72,443.60 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $34,673.69 / $46,773.51
| Facility | | $23,988.33 | $34,673.69 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $32,359.37 / $52,480.75
| Facility | | $20,892.96 | $32,359.37 | $52,480.75 |