- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,515.50 / $42,613.20 / $49,836.30
| Facility | | $27,515.50 | $42,613.20 | $49,836.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,288.75 / $41,310.16 / $58,267.09
| Facility | | $27,288.75 | $41,310.16 | $58,267.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,408.60 / $35,781.01 / $54,851.59
| Facility | | $25,408.60 | $35,781.01 | $54,851.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,216.12 / $36,902.00 / $51,390.00
| Facility | | $21,216.12 | $36,902.00 | $51,390.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $49,595.32 / $65,516.57
| Facility | | $5,274.00 | $49,595.32 | $65,516.57 |