- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,309.96 / $59,672.73 / $59,672.73
| Facility | | $52,309.96 | $59,672.73 | $59,672.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,444.20 / $28,167.74 / $51,221.37
| Facility | | $17,444.20 | $28,167.74 | $51,221.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,166.00 / $35,668.00 / $49,472.26
| Facility | | $30,166.00 | $35,668.00 | $49,472.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,372.42 / $34,656.32 / $50,914.13
| Facility | | $22,372.42 | $34,656.32 | $50,914.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,224.63 / $28,224.63 / $49,118.63
| Facility | | $28,224.63 | $28,224.63 | $49,118.63 |