- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,020.20 / $46,759.00 / $61,457.40
| Facility | | $32,020.20 | $46,759.00 | $61,457.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.26 / $43,160.79 / $73,000.66
| Facility | | $15,848.26 | $43,160.79 | $73,000.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,528.11 / $46,966.76 / $78,611.75
| Facility | | $32,528.11 | $46,966.76 | $78,611.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,277.01 / $52,415.53 / $76,530.95
| Facility | | $40,277.01 | $52,415.53 | $76,530.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,277.01 / $48,727.22 / $76,530.95
| Facility | | $40,277.01 | $48,727.22 | $76,530.95 |