- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,278.20 / $27,674.20 / $45,573.40
| Facility | | $11,278.20 | $27,674.20 | $45,573.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,047.46 / $44,182.52 / $56,793.07
| Facility | | $29,047.46 | $44,182.52 | $56,793.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $36,573.23 / $58,476.74
| Facility | | $17,646.00 | $36,573.23 | $58,476.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,504.56 / $39,400.00 / $82,623.05
| Facility | | $20,504.56 | $39,400.00 | $82,623.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,474.08 / $16,474.08 / $16,474.08
| Facility | | $16,474.08 | $16,474.08 | $16,474.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $39,139.82 / $58,491.17
| Facility | | $17,648.00 | $39,139.82 | $58,491.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,188.59 / $50,306.04
| Facility | | $5,281.00 | $26,188.59 | $50,306.04 |