- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,331.50 / $42,874.00 / $58,216.30
| Facility | | $30,331.50 | $42,874.00 | $58,216.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,252.55 / $39,807.18 / $65,650.47
| Facility | | $14,252.55 | $39,807.18 | $65,650.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,812.66 / $44,489.86 / $74,465.98
| Facility | | $30,812.66 | $44,489.86 | $74,465.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,152.91 / $49,651.28 / $72,494.91
| Facility | | $38,152.91 | $49,651.28 | $72,494.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,152.91 / $46,157.48 / $72,494.91
| Facility | | $38,152.91 | $46,157.48 | $72,494.91 |