- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,442.80 / $48,695.30 / $56,949.30
| Facility | | $31,442.80 | $48,695.30 | $56,949.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,477.21 / $49,164.54 / $69,345.52
| Facility | | $32,477.21 | $49,164.54 | $69,345.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,015.48 / $39,994.62 / $62,680.52
| Facility | | $29,015.48 | $39,994.62 | $62,680.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,896.00 / $37,532.00 / $58,334.00
| Facility | | $18,896.00 | $37,532.00 | $58,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $56,252.62 / $74,867.70
| Facility | | $5,274.00 | $56,252.62 | $74,867.70 |