- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,359.60 / $56,037.40 / $93,035.30
| Facility | | $35,359.60 | $56,037.40 | $93,035.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,637.68 / $53,311.65 / $100,811.43
| Facility | | $36,637.68 | $53,311.65 | $100,811.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,302.43 / $62,436.68 / $105,751.00
| Facility | | $48,302.43 | $62,436.68 | $105,751.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,878.65 / $60,005.71 / $155,723.92
| Facility | | $28,878.65 | $60,005.71 | $155,723.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,878.65 / $57,291.28 / $80,520.07
| Facility | | $28,878.65 | $57,291.28 | $80,520.07 |