- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,018.30 / $68,636.89 / $110,514.00
| Facility | | $30,018.30 | $68,636.89 | $110,514.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $32,125.19 / $96,839.70
| Facility | | $1,474.01 | $32,125.19 | $96,839.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,684.27 / $71,764.27 / $101,662.72
| Facility | | $49,684.27 | $71,764.27 | $101,662.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,775.80 / $58,724.00 / $124,313.40
| Facility | | $40,775.80 | $58,724.00 | $124,313.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,775.80 / $70,557.00 / $108,516.70
| Facility | | $40,775.80 | $70,557.00 | $108,516.70 |