- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,924.40 / $43,639.80 / $70,841.00
| Facility | | $29,924.40 | $43,639.80 | $70,841.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,771.45 / $83,552.38 / $107,118.44
| Facility | | $58,771.45 | $83,552.38 | $107,118.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,138.28 / $61,135.55 / $81,389.38
| Facility | | $35,138.28 | $61,135.55 | $81,389.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,221.10 / $46,931.40 / $75,045.39
| Facility | | $31,221.10 | $46,931.40 | $75,045.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,512.76 / $62,437.26 / $94,860.35
| Facility | | $36,512.76 | $62,437.26 | $94,860.35 |