- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,565.20 / $26,443.80 / $42,577.80
| Facility | | $11,565.20 | $26,443.80 | $42,577.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,502.43 / $24,502.43 / $32,446.51
| Facility | | $24,502.43 | $24,502.43 | $32,446.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $15,003.74 / $37,852.48
| Facility | | $1,474.01 | $15,003.74 | $37,852.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,141.88 / $27,648.65 / $39,167.64
| Facility | | $19,141.88 | $27,648.65 | $39,167.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,732.11 / $23,649.00 / $48,701.21
| Facility | | $16,732.11 | $23,649.00 | $48,701.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,709.71 / $23,189.69 / $41,808.28
| Facility | | $15,709.71 | $23,189.69 | $41,808.28 |