- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,117.20 / $43,324.10 / $58,137.50
| Facility | | $26,117.20 | $43,324.10 | $58,137.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,812.39 / $22,812.39 / $41,313.14
| Facility | | $22,812.39 | $22,812.39 | $41,313.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,466.00 / $35,162.72 / $56,261.71
| Facility | | $20,466.00 | $35,162.72 | $56,261.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,445.76 / $34,882.50 / $79,999.53
| Facility | | $21,445.76 | $34,882.50 | $79,999.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,461.90 / $33,754.62 / $48,270.40
| Facility | | $25,461.90 | $33,754.62 | $48,270.40 |