- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,695.00 / $47,002.10 / $59,720.40
| Facility | | $26,695.00 | $47,002.10 | $59,720.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,303.78 / $48,968.47 / $67,186.06
| Facility | | $32,303.78 | $48,968.47 | $67,186.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,739.00 / $41,940.68 / $65,730.44
| Facility | | $28,739.00 | $41,940.68 | $65,730.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,341.62 / $43,280.00 / $58,033.00
| Facility | | $21,341.62 | $43,280.00 | $58,033.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,245.00 / $38,341.00 / $78,322.07
| Facility | | $7,245.00 | $38,341.00 | $78,322.07 |