- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,211.40 / $42,561.00 / $74,895.10
| Facility | | $25,211.40 | $42,561.00 | $74,895.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,602.99 / $30,420.72 / $50,018.81
| Facility | | $20,602.99 | $30,420.72 | $50,018.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,276.05 / $38,580.44 / $52,935.79
| Facility | | $22,276.05 | $38,580.44 | $52,935.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,909.85 / $66,909.85 / $78,524.39
| Facility | | $66,909.85 | $66,909.85 | $78,524.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $37,091.56 / $52,981.04
| Facility | | $1,787.00 | $37,091.56 | $52,981.04 |