- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,882.60 / $37,099.30 / $61,530.40
| Facility | | $28,882.60 | $37,099.30 | $61,530.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,831.93 / $37,588.16 / $68,290.69
| Facility | | $25,831.93 | $37,588.16 | $68,290.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,945.58 / $41,293.49 / $70,754.34
| Facility | | $31,945.58 | $41,293.49 | $70,754.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,099.34 / $37,973.11 / $63,617.90
| Facility | | $19,099.34 | $37,973.11 | $63,617.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,099.34 / $37,890.50 / $53,253.22
| Facility | | $19,099.34 | $37,890.50 | $53,253.22 |