- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,123.00 / $35,179.40 / $57,107.20
| Facility | | $24,123.00 | $35,179.40 | $57,107.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,084.28 / $56,985.79 / $73,058.71
| Facility | | $40,084.28 | $56,985.79 | $73,058.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,326.07 / $49,283.29 / $65,610.53
| Facility | | $28,326.07 | $49,283.29 | $65,610.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,168.30 / $37,832.90 / $60,496.50
| Facility | | $25,168.30 | $37,832.90 | $60,496.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,434.08 / $50,332.64 / $76,469.91
| Facility | | $29,434.08 | $50,332.64 | $76,469.91 |