- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,724.30 / $31,222.50 / $51,416.70
| Facility | | $12,724.30 | $31,222.50 | $51,416.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,471.87 / $57,089.61 / $74,027.64
| Facility | | $38,471.87 | $57,089.61 | $74,027.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $41,262.57 / $65,974.50
| Facility | | $17,646.00 | $41,262.57 | $65,974.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,133.61 / $44,451.79 / $93,216.81
| Facility | | $23,133.61 | $44,451.79 | $93,216.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $44,158.24 / $65,990.78
| Facility | | $17,648.00 | $44,158.24 | $65,990.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $29,546.44 / $56,756.17
| Facility | | $5,281.00 | $29,546.44 | $56,756.17 |