- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,548.60 / $35,167.30 / $61,529.50
| Facility | | $26,548.60 | $35,167.30 | $61,529.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,011.98 / $29,011.98 / $36,033.64
| Facility | | $29,011.98 | $29,011.98 | $36,033.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $28,558.59 / $58,060.76
| Facility | | $5,939.30 | $28,558.59 | $58,060.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,093.00 / $33,740.14 / $54,935.10
| Facility | | $19,093.00 | $33,740.14 | $54,935.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $36,241.62 / $62,253.12
| Facility | | $3,496.00 | $36,241.62 | $62,253.12 |