- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,330.50 / $51,894.60 / $73,477.20
| Facility | | $28,330.50 | $51,894.60 | $73,477.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,243.86 / $46,351.69 / $73,912.39
| Facility | | $29,243.86 | $46,351.69 | $73,912.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,455.14 / $46,681.93 / $83,054.57
| Facility | | $29,455.14 | $46,681.93 | $83,054.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $43,084.84 / $90,659.48
| Facility | | $7,896.00 | $43,084.84 | $90,659.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $41,679.01 / $87,276.47
| Facility | | $3,308.00 | $41,679.01 | $87,276.47 |