- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,668.10 / $41,522.40 / $58,791.30
| Facility | | $22,668.10 | $41,522.40 | $58,791.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,831.92 / $44,532.36 / $72,304.70
| Facility | | $27,831.92 | $44,532.36 | $72,304.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,567.94 / $37,351.61 / $66,454.45
| Facility | | $23,567.94 | $37,351.61 | $66,454.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $35,514.22 / $78,582.50
| Facility | | $7,117.00 | $35,514.22 | $78,582.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $34,473.47 / $69,832.52
| Facility | | $3,308.00 | $34,473.47 | $69,832.52 |