- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,541.60 / $31,184.20 / $54,560.50
| Facility | | $23,541.60 | $31,184.20 | $54,560.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,565.06 / $25,077.01 / $35,498.31
| Facility | | $16,565.06 | $25,077.01 | $35,498.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,051.09 / $53,257.25
| Facility | | $5,939.30 | $26,051.09 | $53,257.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,307.00 / $29,918.61 / $48,712.95
| Facility | | $17,307.00 | $29,918.61 | $48,712.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,136.77 / $49,084.94
| Facility | | $3,496.00 | $32,136.77 | $49,084.94 |