- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,151.30 / $55,712.20 / $73,225.00
| Facility | | $38,151.30 | $55,712.20 | $73,225.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,022.71 / $75,404.02 / $125,320.53
| Facility | | $40,022.71 | $75,404.02 | $125,320.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,756.46 / $53,291.42 / $93,664.03
| Facility | | $38,756.46 | $53,291.42 | $93,664.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,989.10 / $62,451.85 / $91,184.79
| Facility | | $47,989.10 | $62,451.85 | $91,184.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,989.10 / $58,057.32 / $91,184.79
| Facility | | $47,989.10 | $58,057.32 | $91,184.79 |