- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,426.20 / $32,704.90 / $53,090.30
| Facility | | $22,426.20 | $32,704.90 | $53,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,158.15 / $62,777.40 / $80,483.84
| Facility | | $44,158.15 | $62,777.40 | $80,483.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,333.63 / $48,019.52 / $60,995.53
| Facility | | $26,333.63 | $48,019.52 | $60,995.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,398.00 / $35,171.80 / $56,241.20
| Facility | | $23,398.00 | $35,171.80 | $56,241.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,363.70 / $46,792.27 / $71,091.05
| Facility | | $27,363.70 | $46,792.27 | $71,091.05 |