- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,138.00 / $41,089.90 / $54,006.20
| Facility | | $28,138.00 | $41,089.90 | $54,006.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,077.08 / $30,412.68 / $51,023.55
| Facility | | $11,077.08 | $30,412.68 | $51,023.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,616.58 / $41,462.69 / $73,957.75
| Facility | | $29,616.58 | $41,462.69 | $73,957.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,393.81 / $46,060.65 / $67,252.30
| Facility | | $35,393.81 | $46,060.65 | $67,252.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,393.81 / $42,819.51 / $67,252.30
| Facility | | $35,393.81 | $42,819.51 | $67,252.30 |