- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,793.80 / $80,015.20 / $105,167.00
| Facility | | $54,793.80 | $80,015.20 | $105,167.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,858.78 / $81,316.73 / $137,536.29
| Facility | | $29,858.78 | $81,316.73 | $137,536.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,672.97 / $80,741.17 / $144,019.45
| Facility | | $57,672.97 | $80,741.17 | $144,019.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,923.10 / $89,694.85 / $130,961.79
| Facility | | $68,923.10 | $89,694.85 | $130,961.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,923.10 / $83,383.32 / $130,961.79
| Facility | | $68,923.10 | $83,383.32 | $130,961.79 |