- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,442.20 / $52,099.30 / $73,767.00
| Facility | | $28,442.20 | $52,099.30 | $73,767.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,401.32 / $46,616.85 / $73,881.53
| Facility | | $29,401.32 | $46,616.85 | $73,881.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,571.30 / $46,866.03 / $83,382.11
| Facility | | $29,571.30 | $46,866.03 | $83,382.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $41,843.39 / $98,599.50
| Facility | | $7,117.00 | $41,843.39 | $98,599.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $41,843.39 / $87,620.66
| Facility | | $3,308.00 | $41,843.39 | $87,620.66 |