- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,444.50 / $42,208.10 / $56,640.00
| Facility | | $25,444.50 | $42,208.10 | $56,640.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,942.37 / $33,942.37 / $33,942.37
| Facility | | $33,942.37 | $33,942.37 | $33,942.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,344.45 / $34,341.43 / $54,947.61
| Facility | | $20,344.45 | $34,341.43 | $54,947.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,893.36 / $33,984.00 / $77,938.91
| Facility | | $20,893.36 | $33,984.00 | $77,938.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,658.79 / $33,476.51 / $47,423.54
| Facility | | $24,658.79 | $33,476.51 | $47,423.54 |