- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,088.10 / $34,557.30 / $60,462.30
| Facility | | $26,088.10 | $34,557.30 | $60,462.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,177.31 / $38,177.31 / $40,545.33
| Facility | | $38,177.31 | $38,177.31 | $40,545.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $29,590.25 / $58,406.00
| Facility | | $5,939.30 | $29,590.25 | $58,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,058.00 / $33,154.90 / $53,982.23
| Facility | | $19,058.00 | $33,154.90 | $53,982.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $35,613.00 / $61,173.31
| Facility | | $3,496.00 | $35,613.00 | $61,173.31 |