- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,972.00 / $37,052.80 / $64,828.30
| Facility | | $27,972.00 | $37,052.80 | $64,828.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,678.51 / $28,230.53 / $34,597.69
| Facility | | $22,678.51 | $28,230.53 | $34,597.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $31,131.97 / $62,752.81
| Facility | | $5,939.30 | $31,131.97 | $62,752.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,116.64 / $35,549.06 / $57,880.35
| Facility | | $20,116.64 | $35,549.06 | $57,880.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $38,184.66 / $65,590.71
| Facility | | $3,496.00 | $38,184.66 | $65,590.71 |