- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,234.60 / $53,471.80 / $71,755.00
| Facility | | $32,234.60 | $53,471.80 | $71,755.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,853.36 / $26,853.36 / $26,853.36
| Facility | | $26,853.36 | $26,853.36 | $26,853.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,427.38 / $45,259.46 / $72,817.95
| Facility | | $24,427.38 | $45,259.46 | $72,817.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,468.98 / $43,053.00 / $98,737.75
| Facility | | $26,468.98 | $43,053.00 | $98,737.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,425.82 / $41,107.00 / $59,576.74
| Facility | | $31,425.82 | $41,107.00 | $59,576.74 |