- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,348.50 / $42,792.40 / $75,302.20
| Facility | | $25,348.50 | $42,792.40 | $75,302.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,785.80 / $41,113.08 / $68,994.22
| Facility | | $27,785.80 | $41,113.08 | $68,994.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,058.39 / $38,790.17 / $53,223.56
| Facility | | $23,058.39 | $38,790.17 | $53,223.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,185.62 / $86,620.55 / $101,656.57
| Facility | | $41,185.62 | $86,620.55 | $101,656.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,891.00 / $33,134.68 / $51,358.14
| Facility | | $3,891.00 | $33,134.68 | $51,358.14 |