- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,277.60 / $30,703.10 / $55,447.50
| Facility | | $21,277.60 | $30,703.10 | $55,447.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,460.83 / $24,751.14 / $37,785.76
| Facility | | $24,460.83 | $24,751.14 | $37,785.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,367.02 / $53,605.21
| Facility | | $5,939.30 | $26,367.02 | $53,605.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,640.06 / $30,405.04 / $49,504.95
| Facility | | $20,640.06 | $30,405.04 | $49,504.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $27,250.72 / $56,099.61
| Facility | | $3,535.00 | $27,250.72 | $56,099.61 |