- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,564.80 / $41,657.00 / $67,622.39
| Facility | | $28,564.80 | $41,657.00 | $67,622.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,227.67 / $95,574.18 / $122,531.00
| Facility | | $67,227.67 | $95,574.18 | $122,531.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,541.79 / $58,357.89 / $77,691.50
| Facility | | $33,541.79 | $58,357.89 | $77,691.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,802.60 / $44,799.10 / $71,635.80
| Facility | | $29,802.60 | $44,799.10 | $71,635.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,853.82 / $59,600.46 / $90,550.42
| Facility | | $34,853.82 | $59,600.46 | $90,550.42 |