- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,408.10 / $44,581.30 / $78,450.20
| Facility | | $26,408.10 | $44,581.30 | $78,450.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,304.06 / $29,319.65 / $47,833.56
| Facility | | $20,304.06 | $29,319.65 | $47,833.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,022.32 / $40,411.75 / $55,448.52
| Facility | | $24,022.32 | $40,411.75 | $55,448.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,720.70 / $81,720.70 / $95,906.18
| Facility | | $81,720.70 | $81,720.70 | $95,906.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $38,065.36 / $55,495.92
| Facility | | $1,787.00 | $38,065.36 | $55,495.92 |