- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,176.40 / $40,051.00 / $69,937.30
| Facility | | $30,176.40 | $40,051.00 | $69,937.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,043.30 / $32,225.75 / $48,762.13
| Facility | | $32,043.30 | $32,225.75 | $48,762.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $32,815.51 / $67,086.03
| Facility | | $5,939.30 | $32,815.51 | $67,086.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,758.82 / $40,954.24 / $62,441.78
| Facility | | $26,758.82 | $40,954.24 | $62,441.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $45,528.25 / $70,759.78
| Facility | | $3,496.00 | $45,528.25 | $70,759.78 |