- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,350.20 / $57,426.00 / $81,309.10
| Facility | | $31,350.20 | $57,426.00 | $81,309.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,928.65 / $54,237.80 / $92,989.34
| Facility | | $34,928.65 | $54,237.80 | $92,989.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,594.76 / $51,657.76 / $91,907.35
| Facility | | $32,594.76 | $51,657.76 | $91,907.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $49,014.70 / $108,680.61
| Facility | | $7,117.00 | $49,014.70 | $108,680.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $47,677.24 / $96,579.26
| Facility | | $3,308.00 | $47,677.24 | $96,579.26 |