- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,997.10 / $45,147.80 / $74,956.10
| Facility | | $28,997.10 | $45,147.80 | $74,956.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,045.90 / $40,516.36 / $68,635.55
| Facility | | $27,045.90 | $40,516.36 | $68,635.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,916.01 / $49,351.43 / $73,814.00
| Facility | | $38,916.01 | $49,351.43 | $73,814.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,191.88 / $46,258.74 / $120,938.57
| Facility | | $24,191.88 | $46,258.74 | $120,938.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,266.78 / $44,714.33 / $64,872.93
| Facility | | $23,266.78 | $44,714.33 | $64,872.93 |