- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,036.40 / $40,365.40 / $57,153.10
| Facility | | $22,036.40 | $40,365.40 | $57,153.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,861.93 / $34,708.33 / $53,732.82
| Facility | | $21,861.93 | $34,708.33 | $53,732.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,911.24 / $36,310.83 / $64,602.75
| Facility | | $22,911.24 | $36,310.83 | $64,602.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $34,259.25 / $76,392.88
| Facility | | $7,117.00 | $34,259.25 | $76,392.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $30,721.89 / $67,886.70
| Facility | | $3,308.00 | $30,721.89 | $67,886.70 |