- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,241.70 / $49,914.50 / $81,132.00
| Facility | | $29,241.70 | $49,914.50 | $81,132.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,219.92 / $42,266.74 / $58,190.05
| Facility | | $40,219.92 | $42,266.74 | $58,190.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,074.60 / $39,659.54 / $62,566.76
| Facility | | $25,074.60 | $39,659.54 | $62,566.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,269.11 / $38,208.23 / $71,199.25
| Facility | | $21,269.11 | $38,208.23 | $71,199.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,232.15 / $45,136.68 / $60,310.77
| Facility | | $29,232.15 | $45,136.68 | $60,310.77 |