- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,017.80 / $29,488.90 / $48,561.80
| Facility | | $12,017.80 | $29,488.90 | $48,561.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,779.07 / $53,014.24 / $68,743.16
| Facility | | $35,779.07 | $53,014.24 | $68,743.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $38,971.47 / $62,311.28
| Facility | | $17,646.00 | $38,971.47 | $62,311.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,849.12 / $41,983.61 / $88,040.96
| Facility | | $21,849.12 | $41,983.61 | $88,040.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $41,706.36 / $62,326.66
| Facility | | $17,648.00 | $41,706.36 | $62,326.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $27,905.88 / $53,604.79
| Facility | | $5,281.00 | $27,905.88 | $53,604.79 |