- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,020.70 / $47,830.30 / $77,744.30
| Facility | | $28,020.70 | $47,830.30 | $77,744.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.00 / $11,258.00 / $40,850.49
| Facility | | $11,258.00 | $11,258.00 | $40,850.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,938.10 / $38,003.54 / $59,954.26
| Facility | | $23,938.10 | $38,003.54 | $59,954.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,009.88 / $35,406.26 / $68,842.41
| Facility | | $16,009.88 | $35,406.26 | $68,842.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,047.00 / $39,692.58 / $54,597.97
| Facility | | $7,047.00 | $39,692.58 | $54,597.97 |