- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,593.80 / $41,386.40 / $58,598.70
| Facility | | $22,593.80 | $41,386.40 | $58,598.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,313.00 / $40,586.04 / $63,786.31
| Facility | | $25,313.00 | $40,586.04 | $63,786.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,490.72 / $37,229.23 / $66,236.71
| Facility | | $23,490.72 | $37,229.23 | $66,236.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $36,279.36 / $78,325.03
| Facility | | $7,117.00 | $36,279.36 | $78,325.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $34,360.51 / $69,603.72
| Facility | | $3,308.00 | $34,360.51 | $69,603.72 |