- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,256.00 / $35,271.00 / $79,789.30
| Facility | | $21,256.00 | $35,271.00 | $79,789.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,189.37 / $40,311.54 / $45,039.43
| Facility | | $12,189.37 | $40,311.54 | $45,039.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,028.00 / $35,490.54 / $61,452.19
| Facility | | $24,028.00 | $35,490.54 | $61,452.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,904.73 / $33,474.03 / $62,876.87
| Facility | | $16,904.73 | $33,474.03 | $62,876.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,956.58 / $44,971.71 / $59,867.62
| Facility | | $28,956.58 | $44,971.71 | $59,867.62 |