- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,579.00 / $40,219.40 / $65,288.70
| Facility | | $27,579.00 | $40,219.40 | $65,288.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,519.01 / $66,133.71 / $84,786.81
| Facility | | $46,519.01 | $66,133.71 | $84,786.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,384.23 / $56,343.90 / $75,010.28
| Facility | | $32,384.23 | $56,343.90 | $75,010.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,774.10 / $43,253.10 / $69,163.50
| Facility | | $28,774.10 | $43,253.10 | $69,163.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,650.98 / $57,543.58 / $87,425.43
| Facility | | $33,650.98 | $57,543.58 | $87,425.43 |