- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,343.70 / $41,943.00 / $67,533.50
| Facility | | $18,343.70 | $41,943.00 | $67,533.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $25,325.72 / $67,157.74
| Facility | | $1,474.01 | $25,325.72 | $67,157.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,361.30 / $43,854.06 / $62,124.54
| Facility | | $30,361.30 | $43,854.06 | $62,124.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,539.11 / $36,781.61 / $77,245.91
| Facility | | $26,539.11 | $36,781.61 | $77,245.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,917.47 / $36,781.61 / $78,243.31
| Facility | | $24,917.47 | $36,781.61 | $78,243.31 |