- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,775.20 / $43,015.30 / $50,306.50
| Facility | | $27,775.20 | $43,015.30 | $50,306.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,164.82 / $42,636.38 / $58,598.81
| Facility | | $28,164.82 | $42,636.38 | $58,598.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $35,329.48 / $55,369.21
| Facility | | $16,507.00 | $35,329.48 | $55,369.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,558.00 / $35,694.00 / $51,530.00
| Facility | | $17,558.00 | $35,694.00 | $51,530.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,008.00 / $36,806.83 / $66,134.82
| Facility | | $4,008.00 | $36,806.83 | $66,134.82 |