- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,281.80 / $75,303.30 / $104,034.00
| Facility | | $30,281.80 | $75,303.30 | $104,034.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,835.51 / $19,590.49 / $31,834.36
| Facility | | $13,835.51 | $19,590.49 | $31,834.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,236.45 / $45,818.75 / $62,867.39
| Facility | | $27,236.45 | $45,818.75 | $62,867.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,493.85 / $105,493.85 / $123,805.99
| Facility | | $105,493.85 | $105,493.85 | $123,805.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $41,191.44 / $62,584.35
| Facility | | $2,520.00 | $41,191.44 | $62,584.35 |