- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,034.00 / $35,321.60 / $54,533.40
| Facility | | $24,034.00 | $35,321.60 | $54,533.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,382.22 / $63,095.95 / $80,892.24
| Facility | | $44,382.22 | $63,095.95 | $80,892.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,049.44 / $48,019.52 / $62,653.54
| Facility | | $27,049.44 | $48,019.52 | $62,653.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,034.00 / $36,127.80 / $57,769.90
| Facility | | $24,034.00 | $36,127.80 | $57,769.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,107.52 / $48,064.20 / $73,023.49
| Facility | | $28,107.52 | $48,064.20 | $73,023.49 |