- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,924.18 / $39,988.90 / $66,391.00
| Facility | | $30,924.18 | $39,988.90 | $66,391.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,409.06 / $25,409.06 / $25,409.06
| Facility | | $25,409.06 | $25,409.06 | $25,409.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,361.27 / $36,494.62 / $61,822.65
| Facility | | $24,361.27 | $36,494.62 | $61,822.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,469.12 / $42,652.72 / $61,329.41
| Facility | | $34,469.12 | $42,652.72 | $61,329.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,608.11 / $40,972.81 / $108,933.97
| Facility | | $20,608.11 | $40,972.81 | $108,933.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,608.11 / $40,883.67 / $57,459.98
| Facility | | $20,608.11 | $40,883.67 | $57,459.98 |