- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,210.00 / $36,204.60 / $58,847.70
| Facility | | $21,210.00 | $36,204.60 | $58,847.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,737.02 / $31,737.02 / $37,956.82
| Facility | | $31,737.02 | $31,737.02 | $37,956.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,187.43 / $28,766.38 / $45,381.74
| Facility | | $18,187.43 | $28,766.38 | $45,381.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,509.90 / $18,474.06 / $45,769.11
| Facility | | $7,509.90 | $18,474.06 | $45,769.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,077.97 / $32,735.65 / $43,578.63
| Facility | | $21,077.97 | $32,735.65 | $43,578.63 |