- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,634.40 / $41,460.80 / $58,704.00
| Facility | | $22,634.40 | $41,460.80 | $58,704.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,638.57 / $32,638.57 / $32,638.57
| Facility | | $32,638.57 | $32,638.57 | $32,638.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,823.92 / $42,946.77 / $69,710.14
| Facility | | $26,823.92 | $42,946.77 | $69,710.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,532.96 / $37,296.18 / $66,355.82
| Facility | | $23,532.96 | $37,296.18 | $66,355.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $35,188.91 / $78,465.88
| Facility | | $7,117.00 | $35,188.91 | $78,465.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $31,555.56 / $69,728.87
| Facility | | $3,308.00 | $31,555.56 | $69,728.87 |