- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,516.80 / $28,462.00 / $46,202.80
| Facility | | $19,516.80 | $28,462.00 | $46,202.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,301.40 / $77,197.53 / $98,971.21
| Facility | | $54,301.40 | $77,197.53 | $98,971.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,917.31 / $43,259.67 / $53,082.44
| Facility | | $22,917.31 | $43,259.67 | $53,082.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,362.50 / $30,608.80 / $48,944.90
| Facility | | $20,362.50 | $30,608.80 | $48,944.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,080.01 / $40,721.80 / $61,868.26
| Facility | | $22,080.01 | $40,721.80 | $61,868.26 |