- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,537.40 / $65,793.70 / $105,936.00
| Facility | | $21,537.40 | $65,793.70 | $105,936.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $36,636.79 / $93,417.08
| Facility | | $1,474.01 | $36,636.79 | $93,417.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,626.17 / $68,791.53 / $97,451.49
| Facility | | $47,626.17 | $68,791.53 | $97,451.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,630.51 / $57,697.36 / $121,171.58
| Facility | | $41,630.51 | $57,697.36 | $121,171.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,086.72 / $57,697.36 / $122,736.14
| Facility | | $39,086.72 | $57,697.36 | $122,736.14 |