- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,924.80 / $58,854.50 / $94,217.30
| Facility | | $37,924.80 | $58,854.50 | $94,217.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,537.91 / $55,537.91 / $55,537.91
| Facility | | $55,537.91 | $55,537.91 | $55,537.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,932.13 / $48,305.46 / $68,224.39
| Facility | | $24,932.13 | $48,305.46 | $68,224.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,388.00 / $37,236.28 / $82,262.81
| Facility | | $29,388.00 | $37,236.28 | $82,262.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,411.43 / $53,171.44 / $71,251.32
| Facility | | $34,411.43 | $53,171.44 | $71,251.32 |