- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,138.00 / $48,326.20 / $78,448.70
| Facility | | $33,138.00 | $48,326.20 | $78,448.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,006.22 / $102,367.60 / $131,240.51
| Facility | | $72,006.22 | $102,367.60 | $131,240.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,911.80 / $73,451.53 / $94,691.84
| Facility | | $38,911.80 | $73,451.53 | $94,691.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,574.00 / $51,971.40 / $83,104.60
| Facility | | $34,574.00 | $51,971.40 | $83,104.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,433.87 / $69,142.44 / $105,047.46
| Facility | | $40,433.87 | $69,142.44 | $105,047.46 |