- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,770.86 / $40,805.71 / $40,805.71
| Facility | | $35,770.86 | $40,805.71 | $40,805.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,710.83 / $41,888.68 / $72,024.67
| Facility | | $22,710.83 | $41,888.68 | $72,024.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,994.44 / $61,784.00 / $73,061.00
| Facility | | $43,994.44 | $61,784.00 | $73,061.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,466.84 / $50,430.35 / $74,088.00
| Facility | | $32,466.84 | $50,430.35 | $74,088.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,071.24 / $41,071.24 / $71,475.27
| Facility | | $41,071.24 | $41,071.24 | $71,475.27 |