- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,041.40 / $67,985.39 / $96,887.00
| Facility | | $50,041.40 | $67,985.39 | $96,887.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,245.47 / $60,353.96 / $90,427.32
| Facility | | $37,245.47 | $60,353.96 | $90,427.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,654.62 / $60,267.81 / $109,082.00
| Facility | | $43,654.62 | $60,267.81 | $109,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.25 / $622.15 / $1,082.36
| Facility | | $327.25 | $622.15 | $1,082.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,083.35 / $66,545.47 / $109,518.33
| Facility | | $48,083.35 | $66,545.47 | $109,518.33 |