- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $53,703.18 / $69,183.10
| Facility | | $38,018.94 | $53,703.18 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $47,863.01 / $66,069.34
| Facility | | $32,359.37 | $47,863.01 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $56,234.13 / $79,432.82
| Facility | | $29,512.09 | $56,234.13 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $47,863.01 / $53,703.18
| Facility | | $38,018.94 | $47,863.01 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $56,234.13 / $79,432.82
| Facility | | $26,302.68 | $56,234.13 | $79,432.82 |