- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,043.60 / $78,037.30 / $104,720.00
| Facility | | $47,043.60 | $78,037.30 | $104,720.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,712.11 / $41,712.11 / $41,712.11
| Facility | | $41,712.11 | $41,712.11 | $41,712.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,540.06 / $64,206.32 / $102,732.59
| Facility | | $36,540.06 | $64,206.32 | $102,732.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,629.11 / $62,832.00 / $144,098.91
| Facility | | $38,629.11 | $62,832.00 | $144,098.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,023.38 / $61,663.32 / $88,760.67
| Facility | | $45,023.38 | $61,663.32 | $88,760.67 |