- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,580.40 / $39,616.30 / $46,331.40
| Facility | | $25,580.40 | $39,616.30 | $46,331.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,860.94 / $39,148.73 / $53,805.43
| Facility | | $25,860.94 | $39,148.73 | $53,805.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $33,264.62 / $50,994.02
| Facility | | $16,507.00 | $33,264.62 | $50,994.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $32,164.00 / $47,458.00
| Facility | | $15,496.00 | $32,164.00 | $47,458.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $35,522.80 / $60,908.95
| Facility | | $5,274.00 | $35,522.80 | $60,908.95 |