- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,710.60 / $61,973.60 / $109,056.00
| Facility | | $36,710.60 | $61,973.60 | $109,056.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,874.75 / $35,874.75 / $35,874.75
| Facility | | $35,874.75 | $35,874.75 | $35,874.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,036.82 / $43,374.03 / $70,078.21
| Facility | | $30,036.82 | $43,374.03 | $70,078.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,394.07 / $56,177.45 / $77,080.46
| Facility | | $33,394.07 | $56,177.45 | $77,080.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,041.05 / $113,041.05 / $132,663.26
| Facility | | $113,041.05 | $113,041.05 | $132,663.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $54,009.48 / $77,146.35
| Facility | | $1,787.00 | $54,009.48 | $77,146.35 |