- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,543.80 / $54,939.40 / $96,677.40
| Facility | | $32,543.80 | $54,939.40 | $96,677.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,473.48 / $34,366.17 / $56,987.62
| Facility | | $23,473.48 | $34,366.17 | $56,987.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,754.77 / $48,477.00 / $68,331.53
| Facility | | $28,754.77 | $48,477.00 | $68,331.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,662.85 / $114,662.85 / $134,566.59
| Facility | | $114,662.85 | $114,662.85 | $134,566.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $44,783.30 / $68,389.94
| Facility | | $1,787.00 | $44,783.30 | $68,389.94 |