- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,043.30 / $50,596.00 / $90,969.90
| Facility | | $28,043.30 | $50,596.00 | $90,969.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,365.78 / $42,983.78 / $49,493.12
| Facility | | $15,365.78 | $42,983.78 | $49,493.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,640.61 / $41,776.00 / $70,972.07
| Facility | | $27,640.61 | $41,776.00 | $70,972.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,008.13 / $44,958.50 / $84,438.56
| Facility | | $26,008.13 | $44,958.50 | $84,438.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,194.00 / $49,945.73 / $70,485.03
| Facility | | $34,194.00 | $49,945.73 | $70,485.03 |