- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,313.50 / $40,751.60 / $47,659.10
| Facility | | $26,313.50 | $40,751.60 | $47,659.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,152.06 / $38,075.61 / $53,704.82
| Facility | | $25,152.06 | $38,075.61 | $53,704.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,298.62 / $34,480.00 / $52,455.39
| Facility | | $24,298.62 | $34,480.00 | $52,455.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,466.43 / $33,143.00 / $48,818.00
| Facility | | $19,466.43 | $33,143.00 | $48,818.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $41,186.60 / $62,654.46
| Facility | | $5,274.00 | $41,186.60 | $62,654.46 |