- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,483.60 / $47,920.80 / $76,837.00
| Facility | | $29,483.60 | $47,920.80 | $76,837.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,826.69 / $38,826.69 / $38,826.69
| Facility | | $38,826.69 | $38,826.69 | $38,826.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,715.12 / $43,290.19 / $64,860.96
| Facility | | $26,715.12 | $43,290.19 | $64,860.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,310.85 / $43,226.50 / $78,238.00
| Facility | | $31,310.85 | $43,226.50 | $78,238.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.71 / $446.23 / $776.32
| Facility | | $234.71 | $446.23 | $776.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,019.33 / $49,137.38 / $73,078.20
| Facility | | $35,019.33 | $49,137.38 | $73,078.20 |