- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,711.00 / $40,411.90 / $65,601.20
| Facility | | $27,711.00 | $40,411.90 | $65,601.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,464.31 / $104,440.48 / $133,898.04
| Facility | | $73,464.31 | $104,440.48 | $133,898.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,539.23 / $56,613.57 / $75,369.30
| Facility | | $32,539.23 | $56,613.57 | $75,369.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,911.80 / $43,460.10 / $69,494.60
| Facility | | $28,911.80 | $43,460.10 | $69,494.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,812.04 / $57,819.00 / $87,843.87
| Facility | | $33,812.04 | $57,819.00 | $87,843.87 |