- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,206.10 / $38,844.50 / $54,999.60
| Facility | | $21,206.10 | $38,844.50 | $54,999.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,700.87 / $36,443.56 / $56,831.02
| Facility | | $22,700.87 | $36,443.56 | $56,831.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,047.96 / $33,426.04 / $62,168.57
| Facility | | $22,047.96 | $33,426.04 | $62,168.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $33,865.58 / $73,514.45
| Facility | | $7,117.00 | $33,865.58 | $73,514.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $32,250.15 / $65,328.77
| Facility | | $3,308.00 | $32,250.15 | $65,328.77 |