- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,645.10 / $60,174.80 / $105,890.00
| Facility | | $35,645.10 | $60,174.80 | $105,890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,806.36 / $52,221.49 / $85,196.78
| Facility | | $34,806.36 | $52,221.49 | $85,196.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,424.81 / $55,466.52 / $74,843.22
| Facility | | $32,424.81 | $55,466.52 | $74,843.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,073.80 / $112,073.80 / $131,528.12
| Facility | | $112,073.80 | $112,073.80 | $131,528.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $52,441.86 / $74,907.20
| Facility | | $1,787.00 | $52,441.86 | $74,907.20 |