- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,918.80 / $57,924.40 / $77,730.00
| Facility | | $34,918.80 | $57,924.40 | $77,730.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,025.67 / $31,025.67 / $34,088.15
| Facility | | $31,025.67 | $31,025.67 | $34,088.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,097.40 / $47,493.94 / $73,436.98
| Facility | | $27,097.40 | $47,493.94 | $73,436.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,673.04 / $46,638.00 / $106,959.59
| Facility | | $28,673.04 | $46,638.00 | $106,959.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,840.53 / $45,941.54 / $66,232.17
| Facility | | $33,840.53 | $45,941.54 | $66,232.17 |