- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,338.00 / $48,278.00 / $67,679.10
| Facility | | $26,338.00 | $48,278.00 | $67,679.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,958.87 / $33,958.87 / $33,958.87
| Facility | | $33,958.87 | $33,958.87 | $33,958.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,003.77 / $44,872.07 / $67,982.14
| Facility | | $28,003.77 | $44,872.07 | $67,982.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,213.86 / $45,224.17 / $70,052.38
| Facility | | $29,213.86 | $45,224.17 | $70,052.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,588.33 / $43,462.32 / $66,293.77
| Facility | | $26,588.33 | $43,462.32 | $66,293.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $51,639.36 / $75,227.37
| Facility | | $10,403.00 | $51,639.36 | $75,227.37 |