- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,552.00 / $45,172.60 / $95,477.20
| Facility | | $18,552.00 | $45,172.60 | $95,477.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,364.67 / $49,142.72 / $51,144.70
| Facility | | $33,364.67 | $49,142.72 | $51,144.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,991.30 / $52,733.00 / $76,053.57
| Facility | | $29,991.30 | $52,733.00 | $76,053.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,271.96 / $43,870.38 / $79,692.92
| Facility | | $24,271.96 | $43,870.38 | $79,692.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,307.00 / $52,352.20 / $70,718.17
| Facility | | $25,307.00 | $52,352.20 | $70,718.17 |