- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,993.67 / $51,237.60 / $85,066.60
| Facility | | $35,993.67 | $51,237.60 | $85,066.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,667.94 / $44,444.32 / $75,289.60
| Facility | | $29,667.94 | $44,444.32 | $75,289.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,165.21 / $55,364.00 / $79,931.00
| Facility | | $44,165.21 | $55,364.00 | $79,931.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,405.12 / $52,498.35 / $132,663.26
| Facility | | $26,405.12 | $52,498.35 | $132,663.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,405.12 / $52,384.14 / $73,623.33
| Facility | | $26,405.12 | $52,384.14 | $73,623.33 |