- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,355.50 / $42,365.30 / $49,546.40
| Facility | | $27,355.50 | $42,365.30 | $49,546.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,063.60 / $40,969.33 / $57,786.35
| Facility | | $27,063.60 | $40,969.33 | $57,786.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,260.81 / $34,835.00 / $54,532.55
| Facility | | $25,260.81 | $34,835.00 | $54,532.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $36,763.00 / $51,091.00
| Facility | | $20,832.00 | $36,763.00 | $51,091.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,958.00 / $47,906.10 / $65,135.49
| Facility | | $4,958.00 | $47,906.10 | $65,135.49 |