- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,327.02 / $38,247.80 / $51,605.20
| Facility | | $27,327.02 | $38,247.80 | $51,605.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,577.26 / $39,141.67 / $53,872.30
| Facility | | $26,577.26 | $39,141.67 | $53,872.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,591.26 / $48,004.80 / $61,237.12
| Facility | | $32,591.26 | $48,004.80 | $61,237.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,334.00 / $20,334.00 / $20,334.00
| Facility | | $20,334.00 | $20,334.00 | $20,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $45,684.57 / $59,757.98
| Facility | | $10,845.00 | $45,684.57 | $59,757.98 |