- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,461.90 / $37,182.00 / $48,869.90
| Facility | | $25,461.90 | $37,182.00 | $48,869.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,857.38 / $26,857.38 / $26,857.38
| Facility | | $26,857.38 | $26,857.38 | $26,857.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,644.61 / $26,265.90 / $44,425.23
| Facility | | $9,644.61 | $26,265.90 | $44,425.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,865.82 / $37,347.19 / $62,510.78
| Facility | | $25,865.82 | $37,347.19 | $62,510.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,027.62 / $41,679.97 / $60,856.16
| Facility | | $32,027.62 | $41,679.97 | $60,856.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,027.62 / $38,747.08 / $60,856.16
| Facility | | $32,027.62 | $38,747.08 | $60,856.16 |