- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,568.50 / $58,625.00 / $79,783.80
| Facility | | $41,568.50 | $58,625.00 | $79,783.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,885.76 / $37,816.15 / $63,960.92
| Facility | | $13,885.76 | $37,816.15 | $63,960.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,752.79 / $61,253.16 / $109,258.35
| Facility | | $43,752.79 | $61,253.16 | $109,258.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,287.55 / $68,045.75 / $99,352.34
| Facility | | $52,287.55 | $68,045.75 | $99,352.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,258.24 / $65,479.33 / $94,384.35
| Facility | | $43,258.24 | $65,479.33 | $94,384.35 |