- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,951.10 / $43,837.20 / $66,827.39
| Facility | | $21,951.10 | $43,837.20 | $66,827.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,942.63 / $41,262.33 / $64,899.64
| Facility | | $24,942.63 | $41,262.33 | $64,899.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,789.40 / $42,457.14 / $75,537.99
| Facility | | $26,789.40 | $42,457.14 | $75,537.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.00 / $27,966.51 / $74,531.36
| Facility | | $1,100.00 | $27,966.51 | $74,531.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,264.00 / $72,359.78
| Facility | | $1,000.00 | $5,264.00 | $72,359.78 |