- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,012.80 / $47,438.20 / $103,991.00
| Facility | | $30,012.80 | $47,438.20 | $103,991.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,997.41 / $41,326.92 / $66,634.74
| Facility | | $27,997.41 | $41,326.92 | $66,634.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,448.00 / $51,388.20 / $69,362.34
| Facility | | $27,448.00 | $51,388.20 | $69,362.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,546.00 / $108,970.65 / $127,886.31
| Facility | | $52,546.00 | $108,970.65 | $127,886.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $48,158.63 / $73,169.96
| Facility | | $2,520.00 | $48,158.63 | $73,169.96 |