- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,677.19 / $62,470.00 / $89,937.90
| Facility | | $34,677.19 | $62,470.00 | $89,937.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,807.37 / $56,057.47 / $91,271.63
| Facility | | $35,807.37 | $56,057.47 | $91,271.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,053.82 / $54,659.78 / $101,660.85
| Facility | | $36,053.82 | $54,659.78 | $101,660.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $52,135.02 / $120,214.14
| Facility | | $7,896.00 | $52,135.02 | $120,214.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $51,016.16 / $106,828.56
| Facility | | $3,308.00 | $51,016.16 | $106,828.56 |