- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,053.60 / $31,862.30 / $55,746.90
| Facility | | $24,053.60 | $31,862.30 | $55,746.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,294.95 / $24,748.69 / $35,640.62
| Facility | | $14,294.95 | $24,748.69 | $35,640.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,451.34 / $54,075.50
| Facility | | $5,939.30 | $26,451.34 | $54,075.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,751.00 / $30,557.15 / $49,772.25
| Facility | | $19,751.00 | $30,557.15 | $49,772.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,835.61 / $50,152.33
| Facility | | $3,496.00 | $32,835.61 | $50,152.33 |