- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,967.32 / $43,311.32 / $43,311.32
| Facility | | $37,967.32 | $43,311.32 | $43,311.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,973.53 / $33,788.04 / $61,959.71
| Facility | | $20,973.53 | $33,788.04 | $61,959.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,166.00 / $35,762.00 / $59,588.78
| Facility | | $30,166.00 | $35,762.00 | $59,588.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,805.38 / $41,743.14 / $61,325.49
| Facility | | $25,805.38 | $41,743.14 | $61,325.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,996.25 / $33,996.25 / $59,162.83
| Facility | | $33,996.25 | $33,996.25 | $59,162.83 |