- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,213.70 / $40,485.60 / $65,806.10
| Facility | | $25,213.70 | $40,485.60 | $65,806.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,339.00 / $26,243.78 / $37,746.92
| Facility | | $11,339.00 | $26,243.78 | $37,746.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,337.98 / $36,507.35 / $50,747.81
| Facility | | $20,337.98 | $36,507.35 | $50,747.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,468.52 / $29,294.84 / $53,747.03
| Facility | | $16,468.52 | $29,294.84 | $53,747.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $33,597.48 / $46,214.02
| Facility | | $6,842.00 | $33,597.48 | $46,214.02 |