- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.30 / $27,488.90 / $44,260.60
| Facility | | $12,022.30 | $27,488.90 | $44,260.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,521.33 / $32,521.33 / $32,521.33
| Facility | | $32,521.33 | $32,521.33 | $32,521.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $38,660.19
| Facility | | $1,474.01 | $6,242.69 | $38,660.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,898.43 / $28,741.42 / $40,715.68
| Facility | | $19,898.43 | $28,741.42 | $40,715.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,330.61 / $24,106.22 / $50,626.04
| Facility | | $16,330.61 | $24,106.22 | $50,626.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,098.67 / $24,106.22 / $43,460.68
| Facility | | $15,098.67 | $24,106.22 | $43,460.68 |