- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,450.30 / $45,535.40 / $61,105.00
| Facility | | $27,450.30 | $45,535.40 | $61,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,270.16 / $48,270.16 / $48,270.16
| Facility | | $48,270.16 | $48,270.16 | $48,270.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,646.51 / $37,703.53 / $58,298.68
| Facility | | $21,646.51 | $37,703.53 | $58,298.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,540.41 / $36,663.00 / $84,082.92
| Facility | | $22,540.41 | $36,663.00 | $84,082.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,602.67 / $36,115.50 / $51,161.99
| Facility | | $26,602.67 | $36,115.50 | $51,161.99 |