- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,749.80 / $48,999.20 / $69,377.60
| Facility | | $26,749.80 | $48,999.20 | $69,377.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,586.32 / $46,616.86 / $74,387.13
| Facility | | $29,586.32 | $46,616.86 | $74,387.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,811.74 / $44,077.39 / $78,420.67
| Facility | | $27,811.74 | $44,077.39 | $78,420.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $41,586.98 / $92,732.60
| Facility | | $7,117.00 | $41,586.98 | $92,732.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $40,680.99 / $82,407.03
| Facility | | $3,308.00 | $40,680.99 | $82,407.03 |