- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,126.20 / $25,535.50 / $44,935.10
| Facility | | $15,126.20 | $25,535.50 | $44,935.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,261.52 / $27,261.52 / $27,261.52
| Facility | | $27,261.52 | $27,261.52 | $27,261.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,358.95 / $10,888.62 / $18,012.75
| Facility | | $7,358.95 | $10,888.62 | $18,012.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,365.04 / $23,147.24 / $31,845.95
| Facility | | $13,365.04 | $23,147.24 | $31,845.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,676.70 / $52,676.70 / $61,820.58
| Facility | | $52,676.70 | $52,676.70 | $61,820.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $22,253.95 / $31,787.22
| Facility | | $1,787.00 | $22,253.95 | $31,787.22 |