- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,120.50 / $38,387.90 / $59,267.60
| Facility | | $26,120.50 | $38,387.90 | $59,267.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,763.30 / $94,914.00 / $121,684.61
| Facility | | $66,763.30 | $94,914.00 | $121,684.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,397.68 / $55,492.28 / $71,539.23
| Facility | | $29,397.68 | $55,492.28 | $71,539.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,120.50 / $39,264.19 / $62,785.10
| Facility | | $26,120.50 | $39,264.19 | $62,785.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,547.60 / $52,236.78 / $79,362.85
| Facility | | $30,547.60 | $52,236.78 | $79,362.85 |