- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,776.10 / $29,751.30 / $29,751.30
| Facility | | $26,776.10 | $29,751.30 | $29,751.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,146.03 / $21,146.03 / $21,146.03
| Facility | | $21,146.03 | $21,146.03 | $21,146.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,874.72 / $19,225.49 / $45,841.48
| Facility | | $12,874.72 | $19,225.49 | $45,841.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,567.66 / $32,755.41 / $51,480.10
| Facility | | $18,567.66 | $32,755.41 | $51,480.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $37,734.44 / $57,389.39
| Facility | | $6,965.00 | $37,734.44 | $57,389.39 |