- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,059.70 / $36,744.50 / $52,026.20
| Facility | | $20,059.70 | $36,744.50 | $52,026.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,125.36 / $35,528.32 / $55,307.94
| Facility | | $22,125.36 | $35,528.32 | $55,307.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,856.00 / $33,053.60 / $58,807.60
| Facility | | $20,856.00 | $33,053.60 | $58,807.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $31,186.04 / $69,540.10
| Facility | | $7,117.00 | $31,186.04 | $69,540.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,966.00 / $61,796.96
| Facility | | $3,308.00 | $27,966.00 | $61,796.96 |