- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,116.00 / $37,751.10 / $61,361.40
| Facility | | $22,116.00 | $37,751.10 | $61,361.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,194.71 / $43,194.71 / $43,194.71
| Facility | | $43,194.71 | $43,194.71 | $43,194.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,893.66 / $29,995.13 / $47,320.21
| Facility | | $18,893.66 | $29,995.13 | $47,320.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,796.51 / $26,812.67 / $48,794.73
| Facility | | $14,796.51 | $26,812.67 | $48,794.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,047.00 / $31,328.24 / $43,092.64
| Facility | | $7,047.00 | $31,328.24 | $43,092.64 |