- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,029.30 / $47,844.90 / $77,768.00
| Facility | | $28,029.30 | $47,844.90 | $77,768.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,446.93 / $40,446.93 / $40,446.93
| Facility | | $40,446.93 | $40,446.93 | $40,446.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,034.93 / $38,015.14 / $59,972.55
| Facility | | $24,034.93 | $38,015.14 | $59,972.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,690.84 / $24,133.84 / $60,484.47
| Facility | | $8,690.84 | $24,133.84 | $60,484.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,020.09 / $43,260.58 / $57,589.72
| Facility | | $28,020.09 | $43,260.58 | $57,589.72 |