- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,973.60 / $46,690.90 / $61,367.90
| Facility | | $31,973.60 | $46,690.90 | $61,367.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,107.16 / $41,142.50 / $69,586.99
| Facility | | $15,107.16 | $41,142.50 | $69,586.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,653.66 / $47,114.55 / $85,552.00
| Facility | | $33,653.66 | $47,114.55 | $85,552.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,218.40 / $52,339.25 / $76,419.57
| Facility | | $40,218.40 | $52,339.25 | $76,419.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,218.40 / $48,656.31 / $76,419.57
| Facility | | $40,218.40 | $48,656.31 | $76,419.57 |