- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,291.10 / $46,327.10 / $65,594.20
| Facility | | $25,291.10 | $46,327.10 | $65,594.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,404.25 / $38,785.58 / $59,383.67
| Facility | | $24,404.25 | $38,785.58 | $59,383.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,295.06 / $41,673.69 / $74,144.10
| Facility | | $26,295.06 | $41,673.69 | $74,144.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $37,946.40 / $87,675.54
| Facility | | $7,117.00 | $37,946.40 | $87,675.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $38,462.50 / $77,913.06
| Facility | | $3,308.00 | $38,462.50 | $77,913.06 |