- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,986.60 / $64,672.20 / $86,785.00
| Facility | | $38,986.60 | $64,672.20 | $86,785.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,479.01 / $49,479.01 / $49,479.01
| Facility | | $49,479.01 | $49,479.01 | $49,479.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,251.13 / $54,100.94 / $86,563.59
| Facility | | $29,251.13 | $54,100.94 | $86,563.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,013.25 / $52,071.00 / $119,419.63
| Facility | | $32,013.25 | $52,071.00 | $119,419.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,316.24 / $49,717.39 / $72,055.85
| Facility | | $28,316.24 | $49,717.39 | $72,055.85 |