- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,927.90 / $41,351.10 / $55,490.00
| Facility | | $24,927.90 | $41,351.10 | $55,490.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,174.30 / $41,174.30 / $41,174.30
| Facility | | $41,174.30 | $41,174.30 | $41,174.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,215.53 / $33,348.37 / $53,358.69
| Facility | | $19,215.53 | $33,348.37 | $53,358.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,469.15 / $33,294.00 / $76,356.46
| Facility | | $20,469.15 | $33,294.00 | $76,356.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,158.13 / $32,796.81 / $46,460.67
| Facility | | $24,158.13 | $32,796.81 | $46,460.67 |