- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,316.80 / $42,710.80 / $60,473.90
| Facility | | $23,316.80 | $42,710.80 | $60,473.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,381.75 / $38,918.40 / $59,328.93
| Facility | | $24,381.75 | $38,918.40 | $59,328.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,242.46 / $38,420.62 / $68,356.39
| Facility | | $24,242.46 | $38,420.62 | $68,356.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $36,406.98 / $80,831.56
| Facility | | $7,117.00 | $36,406.98 | $80,831.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $34,303.08 / $71,831.14
| Facility | | $3,308.00 | $34,303.08 | $71,831.14 |