- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,636.10 / $91,554.70 / $148,815.00
| Facility | | $53,636.10 | $91,554.70 | $148,815.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,597.09 / $56,597.09 / $90,093.19
| Facility | | $56,597.09 | $56,597.09 | $90,093.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,992.62 / $72,744.77 / $114,761.90
| Facility | | $45,992.62 | $72,744.77 | $114,761.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,570.90 / $61,227.39 / $115,741.49
| Facility | | $30,570.90 | $61,227.39 | $115,741.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,302.24 / $82,782.32 / $110,202.17
| Facility | | $53,302.24 | $82,782.32 | $110,202.17 |