- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,750.20 / $28,802.40 / $46,755.30
| Facility | | $19,750.20 | $28,802.40 | $46,755.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,162.22 / $57,096.59 / $73,200.75
| Facility | | $40,162.22 | $57,096.59 | $73,200.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,191.38 / $43,777.01 / $53,717.25
| Facility | | $23,191.38 | $43,777.01 | $53,717.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,606.00 / $30,974.90 / $49,530.20
| Facility | | $20,606.00 | $30,974.90 | $49,530.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,344.06 / $41,208.79 / $62,608.13
| Facility | | $22,344.06 | $41,208.79 | $62,608.13 |