- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,764.00 / $52,290.20 / $61,153.60
| Facility | | $33,764.00 | $52,290.20 | $61,153.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,142.53 / $42,602.63 / $60,090.09
| Facility | | $28,142.53 | $42,602.63 | $60,090.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,364.09 / $42,947.16 / $66,529.49
| Facility | | $30,364.09 | $42,947.16 | $66,529.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $36,811.00 / $58,891.00
| Facility | | $20,832.00 | $36,811.00 | $58,891.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $48,766.57 / $80,394.70
| Facility | | $5,274.00 | $48,766.57 | $80,394.70 |