- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,523.40 / $42,625.30 / $49,850.40
| Facility | | $27,523.40 | $42,625.30 | $49,850.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,066.03 / $39,459.19 / $55,656.34
| Facility | | $26,066.03 | $39,459.19 | $55,656.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,415.83 / $35,009.17 / $54,867.21
| Facility | | $25,415.83 | $35,009.17 | $54,867.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $34,310.00 / $50,964.00
| Facility | | $20,832.00 | $34,310.00 | $50,964.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $49,240.56 / $65,535.22
| Facility | | $5,274.00 | $49,240.56 | $65,535.22 |