- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,551.70 / $46,369.80 / $71,591.00
| Facility | | $31,551.70 | $46,369.80 | $71,591.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,481.40 / $87,358.34 / $112,057.68
| Facility | | $61,481.40 | $87,358.34 | $112,057.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,510.28 / $61,782.77 / $82,251.02
| Facility | | $35,510.28 | $61,782.77 | $82,251.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,551.70 / $47,428.30 / $75,839.89
| Facility | | $31,551.70 | $47,428.30 | $75,839.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,199.00 / $63,098.26 / $95,864.60
| Facility | | $36,199.00 | $63,098.26 | $95,864.60 |