- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,393.60 / $31,199.00 / $50,645.80
| Facility | | $21,393.60 | $31,199.00 | $50,645.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,414.68 / $26,414.68 / $26,414.68
| Facility | | $26,414.68 | $26,414.68 | $26,414.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,551.42 / $88,926.19 / $114,007.93
| Facility | | $62,551.42 | $88,926.19 | $114,007.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,121.11 / $46,791.37 / $58,187.03
| Facility | | $25,121.11 | $46,791.37 | $58,187.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,320.70 / $33,552.30 / $53,651.60
| Facility | | $22,320.70 | $33,552.30 | $53,651.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,376.98 / $44,637.75 / $67,817.71
| Facility | | $29,376.98 | $44,637.75 | $67,817.71 |