- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,015.90 / $42,159.60 / $59,693.50
| Facility | | $23,015.90 | $42,159.60 | $59,693.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,946.34 / $37,134.26 / $56,686.25
| Facility | | $22,946.34 | $37,134.26 | $56,686.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,929.62 / $37,924.82 / $67,474.28
| Facility | | $23,929.62 | $37,924.82 | $67,474.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $35,782.03 / $79,788.46
| Facility | | $7,117.00 | $35,782.03 | $79,788.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $35,002.51 / $70,904.19
| Facility | | $3,308.00 | $35,002.51 | $70,904.19 |