- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,302.80 / $58,553.50 / $95,174.00
| Facility | | $34,302.80 | $58,553.50 | $95,174.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,981.82 / $45,981.82 / $45,981.82
| Facility | | $45,981.82 | $45,981.82 | $45,981.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,414.42 / $46,523.66 / $73,395.58
| Facility | | $29,414.42 | $46,523.66 | $73,395.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,121.95 / $50,509.09 / $93,626.65
| Facility | | $27,121.95 | $50,509.09 | $93,626.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,089.26 / $52,943.14 / $70,479.42
| Facility | | $34,089.26 | $52,943.14 | $70,479.42 |