- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,100.10 / $37,724.00 / $61,317.40
| Facility | | $22,100.10 | $37,724.00 | $61,317.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,177.00 / $33,270.51 / $38,201.58
| Facility | | $11,177.00 | $33,270.51 | $38,201.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,880.11 / $29,973.60 / $47,286.25
| Facility | | $18,880.11 | $29,973.60 | $47,286.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,945.66 / $22,290.61 / $47,689.88
| Facility | | $10,945.66 | $22,290.61 | $47,689.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $31,305.76 / $43,061.71
| Facility | | $6,842.00 | $31,305.76 | $43,061.71 |