- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,384.00 / $41,554.19 / $68,989.80
| Facility | | $32,384.00 | $41,554.19 | $68,989.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,368.92 / $37,304.94 / $61,842.07
| Facility | | $24,368.92 | $37,304.94 | $61,842.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,818.37 / $45,423.15 / $67,323.00
| Facility | | $35,818.37 | $45,423.15 | $67,323.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,414.79 / $42,576.63 / $108,968.18
| Facility | | $21,414.79 | $42,576.63 | $108,968.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,146.86 / $40,521.01 / $57,781.81
| Facility | | $14,146.86 | $40,521.01 | $57,781.81 |