- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,911.00 / $28,395.50 / $48,605.00
| Facility | | $12,911.00 | $28,395.50 | $48,605.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,576.64 / $46,276.53 / $62,347.64
| Facility | | $31,576.64 | $46,276.53 | $62,347.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,182.70 / $40,300.16 / $59,158.37
| Facility | | $28,182.70 | $40,300.16 | $59,158.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,738.45 / $39,849.43 / $84,874.96
| Facility | | $20,738.45 | $39,849.43 | $84,874.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,182.70 / $43,877.21 / $59,484.52
| Facility | | $28,182.70 | $43,877.21 | $59,484.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,164.92 / $36,156.40 / $55,786.61
| Facility | | $8,164.92 | $36,156.40 | $55,786.61 |