- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,086.50 / $40,945.30 / $58,226.00
| Facility | | $29,086.50 | $40,945.30 | $58,226.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,424.83 / $35,424.83 / $35,424.83
| Facility | | $35,424.83 | $35,424.83 | $35,424.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,442.49 / $35,743.18 / $53,553.40
| Facility | | $22,442.49 | $35,743.18 | $53,553.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,856.12 / $34,465.14 / $64,608.00
| Facility | | $25,856.12 | $34,465.14 | $64,608.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $193.82 / $368.49 / $603.34
| Facility | | $193.82 | $368.49 | $603.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,022.30 / $38,764.80 / $62,482.40
| Facility | | $27,022.30 | $38,764.80 | $62,482.40 |