- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,103.80 / $51,767.10 / $73,486.00
| Facility | | $38,103.80 | $51,767.10 | $73,486.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,360.92 / $45,957.09 / $68,856.74
| Facility | | $28,360.92 | $45,957.09 | $68,856.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,240.61 / $46,625.73 / $83,060.00
| Facility | | $33,240.61 | $46,625.73 | $83,060.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.18 / $473.73 / $775.66
| Facility | | $249.18 | $473.73 | $775.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,612.85 / $50,670.75 / $83,392.24
| Facility | | $36,612.85 | $50,670.75 | $83,392.24 |