- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,783.50 / $54,556.30 / $77,245.80
| Facility | | $29,783.50 | $54,556.30 | $77,245.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,028.93 / $49,022.38 / $78,153.91
| Facility | | $31,028.93 | $49,022.38 | $78,153.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,412.00 / $46,946.15 / $87,314.40
| Facility | | $27,412.00 | $46,946.15 | $87,314.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $46,303.37 / $103,249.44
| Facility | | $7,117.00 | $46,303.37 | $103,249.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $45,294.64 / $91,752.84
| Facility | | $3,308.00 | $45,294.64 | $91,752.84 |