- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,025.30 / $43,845.90 / $57,628.50
| Facility | | $30,025.30 | $43,845.90 | $57,628.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,842.59 / $34,975.21 / $59,155.86
| Facility | | $12,842.59 | $34,975.21 | $59,155.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,501.58 / $44,040.70 / $73,714.17
| Facility | | $30,501.58 | $44,040.70 | $73,714.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,767.73 / $49,150.00 / $71,763.00
| Facility | | $37,767.73 | $49,150.00 | $71,763.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,767.73 / $45,691.48 / $71,763.00
| Facility | | $37,767.73 | $45,691.48 | $71,763.00 |