- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,736.60 / $44,504.20 / $52,047.80
| Facility | | $28,736.60 | $44,504.20 | $52,047.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,852.53 / $43,677.44 / $61,606.09
| Facility | | $28,852.53 | $43,677.44 | $61,606.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,536.15 / $36,552.35 / $57,285.72
| Facility | | $26,536.15 | $36,552.35 | $57,285.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $37,526.00 / $53,314.00
| Facility | | $20,832.00 | $37,526.00 | $53,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $39,905.64 / $68,423.97
| Facility | | $5,274.00 | $39,905.64 | $68,423.97 |