- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,346.50 / $47,022.10 / $63,100.00
| Facility | | $28,346.50 | $47,022.10 | $63,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,531.82 / $33,405.58 / $47,380.30
| Facility | | $25,531.82 | $33,405.58 | $47,380.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,282.25 / $39,300.43 / $62,882.21
| Facility | | $23,282.25 | $39,300.43 | $62,882.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,276.33 / $37,860.00 / $86,828.12
| Facility | | $23,276.33 | $37,860.00 | $86,828.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,454.00 / $36,749.44 / $52,832.37
| Facility | | $21,454.00 | $36,749.44 | $52,832.37 |