- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,803.00 / $50,906.80 / $69,957.50
| Facility | | $34,803.00 | $50,906.80 | $69,957.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,157.34 / $55,157.34 / $55,157.34
| Facility | | $55,157.34 | $55,157.34 | $55,157.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,505.34 / $47,278.12 / $71,627.37
| Facility | | $29,505.34 | $47,278.12 | $71,627.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,197.35 / $46,746.65 / $72,410.71
| Facility | | $30,197.35 | $46,746.65 | $72,410.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,483.43 / $44,925.49 / $68,525.57
| Facility | | $27,483.43 | $44,925.49 | $68,525.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $54,431.23 / $77,759.92
| Facility | | $10,403.00 | $54,431.23 | $77,759.92 |