- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,571.20 / $45,008.50 / $63,727.20
| Facility | | $24,571.20 | $45,008.50 | $63,727.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,978.53 / $44,564.46 / $70,503.17
| Facility | | $27,978.53 | $44,564.46 | $70,503.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,546.62 / $40,487.51 / $72,033.73
| Facility | | $25,546.62 | $40,487.51 | $72,033.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $38,199.94 / $85,180.02
| Facility | | $7,117.00 | $38,199.94 | $85,180.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $37,367.74 / $75,695.41
| Facility | | $3,308.00 | $37,367.74 | $75,695.41 |