- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,534.40 / $44,941.10 / $63,631.70
| Facility | | $24,534.40 | $44,941.10 | $63,631.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,014.99 / $37,919.07 / $61,618.05
| Facility | | $23,014.99 | $37,919.07 | $61,618.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,508.34 / $25,508.34 / $25,508.34
| Facility | | $25,508.34 | $25,508.34 | $25,508.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $38,075.89 / $85,052.38
| Facility | | $7,117.00 | $38,075.89 | $85,052.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $37,311.74 / $75,581.98
| Facility | | $3,308.00 | $37,311.74 | $75,581.98 |