- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,834.00 / $46,142.50 / $80,731.89
| Facility | | $34,834.00 | $46,142.50 | $80,731.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,461.57 / $34,070.56 / $36,238.19
| Facility | | $29,461.57 | $34,070.56 | $36,238.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $40,938.72 / $79,949.75
| Facility | | $5,939.30 | $40,938.72 | $79,949.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,176.50 / $44,252.40 / $72,079.42
| Facility | | $28,176.50 | $44,252.40 | $72,079.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $47,222.94 / $81,681.28
| Facility | | $3,496.00 | $47,222.94 | $81,681.28 |