- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,724.60 / $47,723.40 / $77,470.00
| Facility | | $32,724.60 | $47,723.40 | $77,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,183.83 / $95,511.85 / $122,451.09
| Facility | | $67,183.83 | $95,511.85 | $122,451.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,426.37 / $66,856.36 / $89,005.46
| Facility | | $38,426.37 | $66,856.36 | $89,005.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,142.69 / $51,323.10 / $82,067.80
| Facility | | $34,142.69 | $51,323.10 | $82,067.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,929.47 / $68,279.88 / $103,736.98
| Facility | | $39,929.47 | $68,279.88 | $103,736.98 |