- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,123.10 / $27,980.50 / $48,955.30
| Facility | | $21,123.10 | $27,980.50 | $48,955.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,283.02 / $22,122.16 / $49,307.46
| Facility | | $14,283.02 | $22,122.16 | $49,307.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $24,071.61 / $47,513.15
| Facility | | $5,939.30 | $24,071.61 | $47,513.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,929.32 / $26,844.97 / $43,708.50
| Facility | | $15,929.32 | $26,844.97 | $43,708.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $31,869.24 / $44,042.27
| Facility | | $3,496.00 | $31,869.24 | $44,042.27 |