- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,050.60 / $35,771.69 / $57,265.10
| Facility | | $23,050.60 | $35,771.69 | $57,265.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,097.48 / $21,097.48 / $21,097.48
| Facility | | $21,097.48 | $21,097.48 | $21,097.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,702.50 / $26,859.98 / $37,935.80
| Facility | | $13,702.50 | $26,859.98 | $37,935.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,300.35 / $28,536.20 / $49,999.21
| Facility | | $21,300.35 | $28,536.20 | $49,999.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,915.22 / $31,561.76 / $43,306.44
| Facility | | $20,915.22 | $31,561.76 | $43,306.44 |