- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,261.50 / $70,104.70 / $94,075.00
| Facility | | $42,261.50 | $70,104.70 | $94,075.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,869.50 / $46,869.50 / $46,869.50
| Facility | | $46,869.50 | $46,869.50 | $46,869.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,998.05 / $59,354.22 / $91,775.82
| Facility | | $31,998.05 | $59,354.22 | $91,775.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,702.39 / $56,445.00 / $129,450.96
| Facility | | $34,702.39 | $56,445.00 | $129,450.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,201.08 / $55,395.12 / $78,767.12
| Facility | | $41,201.08 | $55,395.12 | $78,767.12 |