- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,454.40 / $63,229.20 / $111,265.00
| Facility | | $37,454.40 | $63,229.20 | $111,265.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,431.12 / $36,431.12 / $36,431.12
| Facility | | $36,431.12 | $36,431.12 | $36,431.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,784.14 / $53,306.84 / $86,874.77
| Facility | | $35,784.14 | $53,306.84 | $86,874.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,070.64 / $57,315.63 / $78,642.14
| Facility | | $34,070.64 | $57,315.63 | $78,642.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,143.80 / $122,143.80 / $143,346.12
| Facility | | $122,143.80 | $122,143.80 | $143,346.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $55,103.73 / $78,709.37
| Facility | | $1,787.00 | $55,103.73 | $78,709.37 |