- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,831.10 / $32,084.10 / $49,535.00
| Facility | | $21,831.10 | $32,084.10 | $49,535.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,230.69 / $36,230.69 / $39,034.33
| Facility | | $36,230.69 | $36,230.69 | $39,034.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,176.07 / $40,056.49 / $51,354.47
| Facility | | $28,176.07 | $40,056.49 | $51,354.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,570.16 / $45,765.15 / $56,910.88
| Facility | | $24,570.16 | $45,765.15 | $56,910.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,831.10 / $32,816.40 / $52,474.90
| Facility | | $21,831.10 | $32,816.40 | $52,474.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,531.26 / $43,658.76 / $66,330.35
| Facility | | $25,531.26 | $43,658.76 | $66,330.35 |