- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,108.70 / $38,806.00 / $78,864.00
| Facility | | $30,108.70 | $38,806.00 | $78,864.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,068.21 / $26,068.21 / $42,297.27
| Facility | | $26,068.21 | $26,068.21 | $42,297.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,255.80 / $32,912.19 / $37,627.15
| Facility | | $26,255.80 | $32,912.19 | $37,627.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,033.15 / $42,541.20 / $55,326.67
| Facility | | $24,033.15 | $42,541.20 | $55,326.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,641.86 / $48,641.86 / $48,641.86
| Facility | | $48,641.86 | $48,641.86 | $48,641.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $38,654.72 / $54,343.49
| Facility | | $1,518.00 | $38,654.72 | $54,343.49 |