- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,230.40 / $34,418.50 / $52,469.10
| Facility | | $20,230.40 | $34,418.50 | $52,469.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,256.31 / $33,752.33 / $52,696.98
| Facility | | $21,256.31 | $33,752.33 | $52,696.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,033.54 / $33,334.97 / $59,308.21
| Facility | | $21,033.54 | $33,334.97 | $59,308.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $31,333.89 / $70,132.07
| Facility | | $7,117.00 | $31,333.89 | $70,132.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $30,766.33 / $62,323.02
| Facility | | $3,308.00 | $30,766.33 | $62,323.02 |