- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,934.00 / $52,092.30 / $97,372.80
| Facility | | $32,934.00 | $52,092.30 | $97,372.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,273.04 / $30,067.83 / $49,639.55
| Facility | | $17,273.04 | $30,067.83 | $49,639.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,765.77 / $43,898.00 / $76,083.84
| Facility | | $29,765.77 | $43,898.00 | $76,083.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,383.64 / $40,065.12 / $76,820.64
| Facility | | $21,383.64 | $40,065.12 | $76,820.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,027.64 / $53,350.42 / $76,899.28
| Facility | | $31,027.64 | $53,350.42 | $76,899.28 |