- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,248.90 / $36,870.90 / $48,461.00
| Facility | | $25,248.90 | $36,870.90 | $48,461.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,404.30 / $20,404.30 / $20,404.30
| Facility | | $20,404.30 | $20,404.30 | $20,404.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,976.72 / $32,882.69 / $55,430.48
| Facility | | $11,976.72 | $32,882.69 | $55,430.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,575.62 / $37,205.42 / $66,363.96
| Facility | | $26,575.62 | $37,205.42 | $66,363.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,759.67 / $41,331.26 / $60,347.01
| Facility | | $31,759.67 | $41,331.26 | $60,347.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,759.67 / $38,422.92 / $60,347.01
| Facility | | $31,759.67 | $38,422.92 | $60,347.01 |