- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,374.40 / $39,921.00 / $64,804.30
| Facility | | $27,374.40 | $39,921.00 | $64,804.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,448.53 / $84,514.96 / $108,352.51
| Facility | | $59,448.53 | $84,514.96 | $108,352.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,143.98 / $55,925.90 / $74,453.81
| Facility | | $32,143.98 | $55,925.90 | $74,453.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,560.60 / $42,932.20 / $68,650.39
| Facility | | $28,560.60 | $42,932.20 | $68,650.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,401.33 / $57,116.69 / $86,776.85
| Facility | | $33,401.33 | $57,116.69 | $86,776.85 |