- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,984.20 / $42,101.50 / $59,611.20
| Facility | | $22,984.20 | $42,101.50 | $59,611.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,011.42 / $44,178.74 / $69,296.53
| Facility | | $28,011.42 | $44,178.74 | $69,296.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,896.62 / $37,872.51 / $67,381.23
| Facility | | $23,896.62 | $37,872.51 | $67,381.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $35,732.69 / $79,678.42
| Facility | | $7,117.00 | $35,732.69 | $79,678.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $34,954.24 / $70,806.41
| Facility | | $3,308.00 | $34,954.24 | $70,806.41 |