- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,965.80 / $51,635.00 / $85,915.50
| Facility | | $30,965.80 | $51,635.00 | $85,915.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,049.98 / $41,863.94 / $49,838.58
| Facility | | $25,049.98 | $41,863.94 | $49,838.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,291.75 / $41,997.82 / $66,255.61
| Facility | | $26,291.75 | $41,997.82 | $66,255.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,727.20 / $32,079.13 / $66,821.16
| Facility | | $15,727.20 | $32,079.13 | $66,821.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,421.00 / $44,000.00 / $60,876.54
| Facility | | $21,421.00 | $44,000.00 | $60,876.54 |