- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,350.40 / $52,276.30 / $86,982.60
| Facility | | $31,350.40 | $52,276.30 | $86,982.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,907.30 / $41,020.61 / $48,285.81
| Facility | | $39,907.30 | $41,020.61 | $48,285.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,782.64 / $42,519.46 / $67,078.55
| Facility | | $26,782.64 | $42,519.46 | $67,078.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,689.72 / $37,723.18 / $67,728.14
| Facility | | $20,689.72 | $37,723.18 | $67,728.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,894.00 / $48,196.42 / $64,413.38
| Facility | | $24,894.00 | $48,196.42 | $64,413.38 |