- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,178.60 / $53,448.10 / $75,676.80
| Facility | | $29,178.60 | $53,448.10 | $75,676.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,842.81 / $52,092.22 / $89,097.78
| Facility | | $33,842.81 | $52,092.22 | $89,097.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,336.90 / $48,258.00 / $85,540.87
| Facility | | $30,336.90 | $48,258.00 | $85,540.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $45,362.86 / $101,152.23
| Facility | | $7,117.00 | $45,362.86 | $101,152.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $44,374.61 / $89,889.15
| Facility | | $3,308.00 | $44,374.61 | $89,889.15 |