- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,801.40 / $37,677.80 / $49,521.50
| Facility | | $25,801.40 | $37,677.80 | $49,521.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,931.33 / $25,931.33 / $25,931.33
| Facility | | $25,931.33 | $25,931.33 | $25,931.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,612.77 / $37,072.69 / $62,703.48
| Facility | | $13,612.77 | $37,072.69 | $62,703.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,157.19 / $38,019.60 / $67,816.23
| Facility | | $27,157.19 | $38,019.60 | $67,816.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,454.68 / $42,235.73 / $61,667.61
| Facility | | $32,454.68 | $42,235.73 | $61,667.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,850.22 / $40,642.76 / $58,584.00
| Facility | | $26,850.22 | $40,642.76 | $58,584.00 |