- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,815.30 / $36,845.19 / $64,465.20
| Facility | | $27,815.30 | $36,845.19 | $64,465.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,874.35 / $22,874.35 / $41,436.37
| Facility | | $22,874.35 | $22,874.35 | $41,436.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $30,427.24 / $61,219.60
| Facility | | $5,939.30 | $30,427.24 | $61,219.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,003.95 / $35,349.93 / $57,556.13
| Facility | | $20,003.95 | $35,349.93 | $57,556.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $40,759.04 / $65,223.30
| Facility | | $3,496.00 | $40,759.04 | $65,223.30 |