- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,090.20 / $36,800.30 / $52,105.30
| Facility | | $20,090.20 | $36,800.30 | $52,105.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,370.83 / $34,211.31 / $53,413.56
| Facility | | $21,370.83 | $34,211.31 | $53,413.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,887.68 / $33,103.81 / $58,896.93
| Facility | | $20,887.68 | $33,103.81 | $58,896.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $31,233.41 / $69,645.73
| Facility | | $7,117.00 | $31,233.41 | $69,645.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $30,552.98 / $61,890.83
| Facility | | $3,308.00 | $30,552.98 | $61,890.83 |