- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,642.80 / $37,446.10 / $49,217.00
| Facility | | $25,642.80 | $37,446.10 | $49,217.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,063.09 / $46,469.26 / $78,596.49
| Facility | | $17,063.09 | $46,469.26 | $78,596.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,990.19 / $37,785.81 / $68,612.59
| Facility | | $26,990.19 | $37,785.81 | $68,612.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,255.11 / $41,976.01 / $61,288.40
| Facility | | $32,255.11 | $41,976.01 | $61,288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,255.11 / $39,022.30 / $61,288.40
| Facility | | $32,255.11 | $39,022.30 | $61,288.40 |