- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,015.30 / $44,935.80 / $52,552.60
| Facility | | $29,015.30 | $44,935.80 | $52,552.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,464.65 / $43,090.26 / $59,222.62
| Facility | | $28,464.65 | $43,090.26 | $59,222.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $36,906.83 / $57,841.27
| Facility | | $16,507.00 | $36,906.83 | $57,841.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,558.00 / $38,030.00 / $54,191.00
| Facility | | $17,558.00 | $38,030.00 | $54,191.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $51,909.63 / $69,087.53
| Facility | | $5,274.00 | $51,909.63 | $69,087.53 |