- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,546.60 / $35,051.69 / $35,051.69
| Facility | | $31,546.60 | $35,051.69 | $35,051.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,942.33 / $27,305.10 / $48,268.67
| Facility | | $12,942.33 | $27,305.10 | $48,268.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,804.67 / $26,677.47 / $47,459.44
| Facility | | $12,804.67 | $26,677.47 | $47,459.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,875.66 / $38,593.10 / $60,651.76
| Facility | | $21,875.66 | $38,593.10 | $60,651.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $52,366.44 / $67,613.84
| Facility | | $6,965.00 | $52,366.44 | $67,613.84 |