- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,661.30 / $45,421.90 / $75,411.20
| Facility | | $28,661.30 | $45,421.90 | $75,411.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,169.08 / $43,628.13 / $76,369.78
| Facility | | $29,169.08 | $43,628.13 | $76,369.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,898.19 / $43,210.00 / $58,167.67
| Facility | | $32,898.19 | $43,210.00 | $58,167.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,408.04 / $48,638.56 / $134,566.59
| Facility | | $23,408.04 | $48,638.56 | $134,566.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,408.04 / $46,438.34 / $65,266.79
| Facility | | $23,408.04 | $46,438.34 | $65,266.79 |