- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,077.40 / $46,065.60 / $56,610.40
| Facility | | $18,077.40 | $46,065.60 | $56,610.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,225.00 / $44,654.61 / $60,923.64
| Facility | | $26,225.00 | $44,654.61 | $60,923.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,651.00 / $42,733.52 / $63,675.83
| Facility | | $29,651.00 | $42,733.52 | $63,675.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,603.00 / $41,529.00 / $56,365.00
| Facility | | $23,603.00 | $41,529.00 | $56,365.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $44,875.97 / $76,761.53
| Facility | | $5,274.00 | $44,875.97 | $76,761.53 |