- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,188.70 / $47,971.30 / $67,922.20
| Facility | | $26,188.70 | $47,971.30 | $67,922.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,839.70 / $41,080.91 / $64,903.40
| Facility | | $25,839.70 | $41,080.91 | $64,903.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,228.30 / $43,152.73 / $76,775.56
| Facility | | $27,228.30 | $43,152.73 | $76,775.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $38,528.04 / $83,805.53
| Facility | | $7,896.00 | $38,528.04 | $83,805.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $34,451.00 / $76,132.02
| Facility | | $3,308.00 | $34,451.00 | $76,132.02 |