- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,972.00 / $52,720.30 / $84,397.30
| Facility | | $33,972.00 | $52,720.30 | $84,397.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,832.41 / $33,832.41 / $33,832.41
| Facility | | $33,832.41 | $33,832.41 | $33,832.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,973.66 / $42,746.03 / $60,661.47
| Facility | | $21,973.66 | $42,746.03 | $60,661.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,392.42 / $42,056.60 / $73,688.75
| Facility | | $31,392.42 | $42,056.60 | $73,688.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,824.81 / $47,629.51 / $63,824.97
| Facility | | $30,824.81 | $47,629.51 | $63,824.97 |