- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,706.20 / $34,420.69 / $69,952.00
| Facility | | $26,706.20 | $34,420.69 | $69,952.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,308.33 / $34,308.33 / $34,308.33
| Facility | | $34,308.33 | $34,308.33 | $34,308.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,502.95 / $35,729.05 / $40,847.54
| Facility | | $28,502.95 | $35,729.05 | $40,847.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,317.30 / $37,733.85 / $49,074.50
| Facility | | $21,317.30 | $37,733.85 | $49,074.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,454.58 / $39,454.58 / $39,454.58
| Facility | | $39,454.58 | $39,454.58 | $39,454.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $34,286.56 / $48,202.43
| Facility | | $1,518.00 | $34,286.56 | $48,202.43 |