- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,063.50 / $40,491.80 / $65,816.20
| Facility | | $24,063.50 | $40,491.80 | $65,816.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,003.80 / $20,095.84 / $31,959.97
| Facility | | $20,003.80 | $20,095.84 | $31,959.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,265.34 / $36,730.58 / $57,211.57
| Facility | | $20,265.34 | $36,730.58 | $57,211.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,254.00 / $30,698.82 / $56,551.20
| Facility | | $17,254.00 | $30,698.82 | $56,551.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,713.82 / $36,872.40 / $75,381.00
| Facility | | $23,713.82 | $36,872.40 | $75,381.00 |