- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,284.80 / $39,844.00 / $52,368.70
| Facility | | $27,284.80 | $39,844.00 | $52,368.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,147.68 / $29,147.68 / $29,147.68
| Facility | | $29,147.68 | $29,147.68 | $29,147.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,766.59 / $32,044.86 / $54,199.56
| Facility | | $11,766.59 | $32,044.86 | $54,199.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,718.54 / $40,205.46 / $71,715.19
| Facility | | $28,718.54 | $40,205.46 | $71,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,320.60 / $44,663.99 / $65,213.07
| Facility | | $34,320.60 | $44,663.99 | $65,213.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,320.60 / $41,521.12 / $65,213.07
| Facility | | $34,320.60 | $41,521.12 | $65,213.07 |