- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,902.80 / $49,407.70 / $57,782.50
| Facility | | $31,902.80 | $49,407.70 | $57,782.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,459.38 / $49,137.55 / $69,307.44
| Facility | | $32,459.38 | $49,137.55 | $69,307.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,439.96 / $40,579.72 / $63,597.51
| Facility | | $29,439.96 | $40,579.72 | $63,597.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $40,314.00 / $59,074.00
| Facility | | $20,832.00 | $40,314.00 | $59,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $46,078.33 / $75,962.97
| Facility | | $5,274.00 | $46,078.33 | $75,962.97 |