- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,673.50 / $67,656.80 / $108,400.00
| Facility | | $50,673.50 | $67,656.80 | $108,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,716.67 / $61,117.51 / $91,571.34
| Facility | | $37,716.67 | $61,117.51 | $91,571.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,576.81 / $59,157.00 / $109,631.55
| Facility | | $42,576.81 | $59,157.00 | $109,631.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $321.64 / $611.48 / $1,001.20
| Facility | | $321.64 | $611.48 | $1,001.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,316.89 / $66,099.25 / $106,825.87
| Facility | | $43,316.89 | $66,099.25 | $106,825.87 |