- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,532.30 / $35,047.90 / $56,967.60
| Facility | | $20,532.30 | $35,047.90 | $56,967.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,250.88 / $29,698.69 / $39,054.35
| Facility | | $28,250.88 | $29,698.69 | $39,054.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,606.34 / $27,847.30 / $43,931.80
| Facility | | $17,606.34 | $27,847.30 | $43,931.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,242.42 / $14,133.85 / $44,306.80
| Facility | | $5,242.42 | $14,133.85 | $44,306.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $29,084.95 / $40,006.94
| Facility | | $6,842.00 | $29,084.95 | $40,006.94 |