- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,136.80 / $36,707.30 / $48,246.00
| Facility | | $25,136.80 | $36,707.30 | $48,246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,848.25 / $40,766.60 / $68,394.37
| Facility | | $14,848.25 | $40,766.60 | $68,394.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,457.68 / $37,040.29 / $67,258.87
| Facility | | $26,457.68 | $37,040.29 | $67,258.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,618.71 / $41,147.83 / $60,079.18
| Facility | | $31,618.71 | $41,147.83 | $60,079.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,618.71 / $38,252.39 / $60,079.18
| Facility | | $31,618.71 | $38,252.39 | $60,079.18 |