- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,044.90 / $40,335.60 / $47,172.60
| Facility | | $26,044.90 | $40,335.60 | $47,172.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,046.17 / $37,915.31 / $53,478.73
| Facility | | $25,046.17 | $37,915.31 | $53,478.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,050.58 / $34,480.00 / $51,919.93
| Facility | | $24,050.58 | $34,480.00 | $51,919.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,396.00 / $31,758.00 / $47,678.00
| Facility | | $20,396.00 | $31,758.00 | $47,678.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $46,595.52 / $62,014.89
| Facility | | $5,274.00 | $46,595.52 | $62,014.89 |