- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,426.10 / $51,936.20 / $84,418.10
| Facility | | $30,426.10 | $51,936.20 | $84,418.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,550.50 / $46,840.41 / $46,937.99
| Facility | | $39,550.50 | $46,840.41 | $46,937.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,090.19 / $41,265.86 / $65,100.89
| Facility | | $26,090.19 | $41,265.86 | $65,100.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,314.00 / $26,594.85 / $65,656.58
| Facility | | $11,314.00 | $26,594.85 | $65,656.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,416.13 / $46,959.86 / $62,514.30
| Facility | | $30,416.13 | $46,959.86 | $62,514.30 |