- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,743.60 / $41,660.80 / $58,987.20
| Facility | | $22,743.60 | $41,660.80 | $58,987.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,735.33 / $40,813.48 / $64,217.93
| Facility | | $25,735.33 | $40,813.48 | $64,217.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,646.48 / $37,476.08 / $66,675.91
| Facility | | $23,646.48 | $37,476.08 | $66,675.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $37,398.68 / $78,844.39
| Facility | | $7,117.00 | $37,398.68 | $78,844.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $34,588.35 / $70,065.24
| Facility | | $3,308.00 | $34,588.35 | $70,065.24 |