- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,875.80 / $60,564.20 / $106,576.00
| Facility | | $35,875.80 | $60,564.20 | $106,576.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,683.36 / $68,346.42 / $113,335.30
| Facility | | $46,683.36 | $68,346.42 | $113,335.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,634.63 / $54,899.88 / $75,327.52
| Facility | | $32,634.63 | $54,899.88 | $75,327.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118,844.55 / $118,844.55 / $139,474.17
| Facility | | $118,844.55 | $118,844.55 | $139,474.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $52,781.21 / $75,391.91
| Facility | | $1,787.00 | $52,781.21 | $75,391.91 |