- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,030.02 / $37,668.90 / $62,539.30
| Facility | | $27,030.02 | $37,668.90 | $62,539.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,512.08 / $32,701.19 / $79,389.53
| Facility | | $21,512.08 | $32,701.19 | $79,389.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,480.58 / $46,480.58 / $46,480.58
| Facility | | $46,480.58 | $46,480.58 | $46,480.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,412.52 / $38,595.75 / $106,447.00
| Facility | | $19,412.52 | $38,595.75 | $106,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,412.52 / $38,511.79 / $54,126.42
| Facility | | $19,412.52 | $38,511.79 | $54,126.42 |