- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,423.80 / $32,701.40 / $53,084.60
| Facility | | $22,423.80 | $32,701.40 | $53,084.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,566.12 / $54,827.50 / $70,291.67
| Facility | | $38,566.12 | $54,827.50 | $70,291.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,330.81 / $48,019.52 / $60,989.00
| Facility | | $26,330.81 | $48,019.52 | $60,989.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,395.50 / $35,168.00 / $56,235.20
| Facility | | $23,395.50 | $35,168.00 | $56,235.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,360.77 / $46,787.26 / $71,083.45
| Facility | | $27,360.77 | $46,787.26 | $71,083.45 |