- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,283.00 / $43,035.80 / $66,443.50
| Facility | | $29,283.00 | $43,035.80 | $66,443.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,791.82 / $55,148.36 / $70,703.03
| Facility | | $38,791.82 | $55,148.36 | $70,703.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,957.01 / $57,340.47 / $76,337.02
| Facility | | $32,957.01 | $57,340.47 | $76,337.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,283.00 / $44,018.10 / $70,386.89
| Facility | | $29,283.00 | $44,018.10 | $70,386.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,246.17 / $58,561.38 / $88,971.76
| Facility | | $34,246.17 | $58,561.38 | $88,971.76 |