- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,874.30 / $39,244.50 / $51,580.80
| Facility | | $26,874.30 | $39,244.50 | $51,580.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,027.74 / $35,848.85 / $59,580.33
| Facility | | $19,027.74 | $35,848.85 | $59,580.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,300.62 / $37,539.26 / $65,978.31
| Facility | | $27,300.62 | $37,539.26 | $65,978.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,804.22 / $43,992.00 / $64,231.90
| Facility | | $33,804.22 | $43,992.00 | $64,231.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,804.22 / $40,896.42 / $64,231.90
| Facility | | $33,804.22 | $40,896.42 | $64,231.90 |