- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,405.69 / $64,034.20 / $106,312.00
| Facility | | $40,405.69 | $64,034.20 | $106,312.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,442.37 / $57,588.93 / $97,556.84
| Facility | | $38,442.37 | $57,588.93 | $97,556.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,195.45 / $69,996.23 / $112,299.00
| Facility | | $55,195.45 | $69,996.23 | $112,299.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,999.79 / $68,568.85 / $171,899.03
| Facility | | $32,999.79 | $68,568.85 | $171,899.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,999.79 / $65,467.06 / $92,010.72
| Facility | | $32,999.79 | $65,467.06 | $92,010.72 |