- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,487.50 / $41,600.30 / $54,677.00
| Facility | | $28,487.50 | $41,600.30 | $54,677.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,626.77 / $23,493.94 / $39,736.83
| Facility | | $8,626.77 | $23,493.94 | $39,736.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,984.43 / $41,977.69 / $76,224.34
| Facility | | $29,984.43 | $41,977.69 | $76,224.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,833.43 / $46,632.75 / $68,087.62
| Facility | | $35,833.43 | $46,632.75 | $68,087.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,760.57 / $40,781.19 / $63,568.64
| Facility | | $23,760.57 | $40,781.19 | $63,568.64 |