- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,647.80 / $41,919.90 / $52,942.50
| Facility | | $29,647.80 | $41,919.90 | $52,942.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,703.07 / $26,703.07 / $26,703.07
| Facility | | $26,703.07 | $26,703.07 | $26,703.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,789.77 / $32,734.57 / $52,666.66
| Facility | | $17,789.77 | $32,734.57 | $52,666.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,529.43 / $31,765.50 / $72,851.00
| Facility | | $19,529.43 | $31,765.50 | $72,851.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,049.05 / $31,291.14 / $44,874.06
| Facility | | $23,049.05 | $31,291.14 | $44,874.06 |