- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,277.70 / $74,120.39 / $120,477.00
| Facility | | $31,277.70 | $74,120.39 | $120,477.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,844.00 / $35,892.40 / $47,407.06
| Facility | | $16,844.00 | $35,892.40 | $47,407.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,234.46 / $64,950.00 / $92,908.34
| Facility | | $37,234.46 | $64,950.00 | $92,908.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,932.02 / $58,494.02 / $111,393.98
| Facility | | $31,932.02 | $58,494.02 | $111,393.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,793.12 / $67,018.47 / $89,558.30
| Facility | | $47,793.12 | $67,018.47 | $89,558.30 |