- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,822.00 / $40,573.80 / $65,863.89
| Facility | | $27,822.00 | $40,573.80 | $65,863.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,880.03 / $82,285.11 / $105,493.73
| Facility | | $57,880.03 | $82,285.11 | $105,493.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,669.57 / $56,840.35 / $75,671.20
| Facility | | $32,669.57 | $56,840.35 | $75,671.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,027.60 / $43,634.20 / $69,772.89
| Facility | | $29,027.60 | $43,634.20 | $69,772.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,947.48 / $58,050.60 / $88,195.74
| Facility | | $33,947.48 | $58,050.60 | $88,195.74 |