- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,079.19 / $36,754.60 / $36,754.60
| Facility | | $33,079.19 | $36,754.60 | $36,754.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,067.13 / $22,646.00 / $35,959.28
| Facility | | $21,067.13 | $22,646.00 | $35,959.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,147.71 / $34,244.37 / $67,653.05
| Facility | | $21,147.71 | $34,244.37 | $67,653.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $41,492.89 / $63,598.39
| Facility | | $19,942.00 | $41,492.89 | $63,598.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,966.86 / $54,910.55 / $70,898.71
| Facility | | $30,966.86 | $54,910.55 | $70,898.71 |