- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,030.50 / $64,916.60 / $105,517.00
| Facility | | $38,030.50 | $64,916.60 | $105,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,762.00 / $22,679.00 / $47,771.80
| Facility | | $15,762.00 | $22,679.00 | $47,771.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,489.44 / $51,579.43 / $81,371.53
| Facility | | $32,489.44 | $51,579.43 | $81,371.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,318.93 / $47,716.25 / $88,413.81
| Facility | | $25,318.93 | $47,716.25 | $88,413.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,944.74 / $55,902.64 / $75,761.96
| Facility | | $33,944.74 | $55,902.64 | $75,761.96 |