- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,455.40 / $36,623.60 / $59,528.70
| Facility | | $21,455.40 | $36,623.60 | $59,528.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $14,348.95 / $41,324.26
| Facility | | $11,231.00 | $14,348.95 | $41,324.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,397.88 / $29,099.23 / $45,906.85
| Facility | | $18,397.88 | $29,099.23 | $45,906.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,637.02 / $33,284.76 / $62,081.66
| Facility | | $17,637.02 | $33,284.76 | $62,081.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $30,392.53 / $41,805.55
| Facility | | $6,842.00 | $30,392.53 | $41,805.55 |