- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,603.80 / $41,535.40 / $73,090.20
| Facility | | $24,603.80 | $41,535.40 | $73,090.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,139.87 / $37,718.43 / $61,535.76
| Facility | | $25,139.87 | $37,718.43 | $61,535.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,381.05 / $36,680.00 / $51,660.12
| Facility | | $22,381.05 | $36,680.00 | $51,660.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,313.14 / $70,063.35 / $82,225.28
| Facility | | $33,313.14 | $70,063.35 | $82,225.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $36,674.65 / $51,704.28
| Facility | | $1,787.00 | $36,674.65 | $51,704.28 |