- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,858.30 / $47,553.10 / $77,293.80
| Facility | | $27,858.30 | $47,553.10 | $77,293.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $42,721.04 / $44,755.09
| Facility | | $11,231.00 | $42,721.04 | $44,755.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,032.09 / $37,783.30 / $59,606.80
| Facility | | $24,032.09 | $37,783.30 | $59,606.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,950.89 / $14,837.24 / $60,115.60
| Facility | | $3,950.89 | $14,837.24 | $60,115.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,756.37 / $42,827.91 / $57,238.50
| Facility | | $19,756.37 | $42,827.91 | $57,238.50 |