- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,818.00 / $52,605.20 / $85,505.50
| Facility | | $30,818.00 | $52,605.20 | $85,505.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,470.11 / $36,016.65 / $44,102.14
| Facility | | $14,470.11 | $36,016.65 | $44,102.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,426.28 / $41,797.44 / $65,939.50
| Facility | | $26,426.28 | $41,797.44 | $65,939.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,380.59 / $45,947.35 / $87,461.04
| Facility | | $24,380.59 | $45,947.35 | $87,461.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,626.22 / $47,564.78 / $63,319.59
| Facility | | $30,626.22 | $47,564.78 | $63,319.59 |