- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,846.00 / $40,915.40 / $48,492.80
| Facility | | $1,846.00 | $40,915.40 | $48,492.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,463.75 / $41,418.47 / $70,468.72
| Facility | | $33,463.75 | $41,418.47 | $70,468.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,939.44 / $48,037.90 / $78,631.12
| Facility | | $29,939.44 | $48,037.90 | $78,631.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $456.34 / $28,801.08 / $41,149.81
| Facility | | $456.34 | $28,801.08 | $41,149.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,069.61 / $47,459.40 / $55,776.70
| Facility | | $34,069.61 | $47,459.40 | $55,776.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,747.82 / $50,622.39 / $63,813.64
| Facility | | $30,747.82 | $50,622.39 | $63,813.64 |