- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,000.10 / $40,266.30 / $47,091.60
| Facility | | $26,000.10 | $40,266.30 | $47,091.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,910.69 / $42,251.67 / $58,070.07
| Facility | | $27,910.69 | $42,251.67 | $58,070.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $33,810.40 / $51,830.68
| Facility | | $16,507.00 | $33,810.40 | $51,830.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $31,984.00 / $48,560.00
| Facility | | $15,496.00 | $31,984.00 | $48,560.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $37,552.91 / $61,908.29
| Facility | | $5,274.00 | $37,552.91 | $61,908.29 |