- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,951.70 / $37,025.80 / $64,781.20
| Facility | | $27,951.70 | $37,025.80 | $64,781.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,191.28 / $29,400.75 / $37,731.06
| Facility | | $26,191.28 | $29,400.75 | $37,731.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $28,076.29 / $57,397.45
| Facility | | $5,939.30 | $28,076.29 | $57,397.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,102.00 / $35,523.22 / $57,838.28
| Facility | | $20,102.00 | $35,523.22 | $57,838.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $38,156.90 / $65,543.03
| Facility | | $3,496.00 | $38,156.90 | $65,543.03 |