- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,875.10 / $52,892.30 / $74,889.80
| Facility | | $28,875.10 | $52,892.30 | $74,889.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,233.50 / $49,694.31 / $78,921.55
| Facility | | $31,233.50 | $49,694.31 | $78,921.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,021.42 / $47,579.40 / $84,651.31
| Facility | | $30,021.42 | $47,579.40 | $84,651.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $44,347.64 / $100,100.33
| Facility | | $7,117.00 | $44,347.64 | $100,100.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $43,913.15 / $88,954.38
| Facility | | $3,308.00 | $43,913.15 | $88,954.38 |