- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,834.10 / $44,960.80 / $79,118.00
| Facility | | $22,834.10 | $44,960.80 | $79,118.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,059.19 / $60,607.39 / $101,953.03
| Facility | | $41,059.19 | $60,607.39 | $101,953.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,226.81 / $40,755.76 / $55,920.53
| Facility | | $24,226.81 | $40,755.76 | $55,920.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,948.60 / $81,948.60 / $96,173.64
| Facility | | $81,948.60 | $81,948.60 | $96,173.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $42,752.26 / $56,151.00
| Facility | | $2,520.00 | $42,752.26 | $56,151.00 |