- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,216.10 / $34,726.90 / $60,758.90
| Facility | | $26,216.10 | $34,726.90 | $60,758.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,563.71 / $27,032.76 / $41,117.53
| Facility | | $20,563.71 | $27,032.76 | $41,117.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $31,723.68 / $61,953.58
| Facility | | $5,939.30 | $31,723.68 | $61,953.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,058.00 / $33,317.55 / $54,247.05
| Facility | | $19,058.00 | $33,317.55 | $54,247.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $35,787.71 / $61,473.41
| Facility | | $3,496.00 | $35,787.71 | $61,473.41 |