- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,721.00 / $60,801.10 / $60,801.10
| Facility | | $54,721.00 | $60,801.10 | $60,801.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,433.89 / $24,433.89 / $40,505.43
| Facility | | $24,433.89 | $24,433.89 | $40,505.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,817.12 / $46,638.96 / $82,982.75
| Facility | | $25,817.12 | $46,638.96 | $82,982.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,945.73 / $68,639.28 / $105,207.13
| Facility | | $37,945.73 | $68,639.28 | $105,207.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,583.00 / $75,832.14 / $117,220.83
| Facility | | $34,583.00 | $75,832.14 | $117,220.83 |