- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,720.40 / $45,281.80 / $64,114.10
| Facility | | $24,720.40 | $45,281.80 | $64,114.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,895.88 / $31,896.09 / $54,708.78
| Facility | | $16,895.88 | $31,896.09 | $54,708.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,701.72 / $40,733.33 / $72,471.06
| Facility | | $25,701.72 | $40,733.33 | $72,471.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $40,021.98 / $85,697.17
| Facility | | $7,117.00 | $40,021.98 | $85,697.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $37,594.61 / $76,154.98
| Facility | | $3,308.00 | $37,594.61 | $76,154.98 |