- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,043.69 / $42,349.10 / $64,844.10
| Facility | | $33,043.69 | $42,349.10 | $64,844.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,673.01 / $40,313.86 / $53,132.80
| Facility | | $26,673.01 | $40,313.86 | $53,132.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,593.81 / $43,572.24 / $60,734.69
| Facility | | $28,593.81 | $43,572.24 | $60,734.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,354.00 / $22,354.00 / $22,354.00
| Facility | | $22,354.00 | $22,354.00 | $22,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,636.00 / $43,179.02 / $56,480.58
| Facility | | $8,636.00 | $43,179.02 | $56,480.58 |